February 2014 Waidyawaraya by Doctor Magazine

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re'150$-

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Aquilion ONE CT hka;%h

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Ad-mire 2014

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Asiri Surgical Hospital Wellness Centre wdisß fj,akia fikag¾

Well MAn Health Check ffjoH mrSlaIK i|yd úuikak ÿrl:k: 0114542818 fyda 011524400 os.=j: 2603 *elaia: 0114626439 Asiri Surgical Hospital PLC No. 22, Kirimandala Mawatha, Narahenpita, Colombo 05 Email: health@asiri.lk

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20 ldKavh 2014 - 02 l,dmh

f,v frda. y÷kd.ekSfï wfma ld,fha lsre< ysñ rcacqrefjda Aquilion ONE CT scanner

22 Obesity ueÈúfha isg we;eï l;=kaf.a uiams~q t,a,d jefgkafka wehs@

26 fmdaIK .=Kh /flk f,i wdydr f;dard.kak ta wdydr ksjerosj fuf,i ms<sfh, lr.kak

31 New Trends In Cardiology

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43 bmerKs YdL jÜfgdare iu.ska 12 Breaking Health News

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The contents of this publication may not reproduced in whole or part in any form without the written consent of the publisher. The opinions expressed in WAIDYAWARAYA are those of the writers and not necessarily endorsed by the publisher.

Copyrights © HEALTH WATCH LANKA (PVT) LTD. 2014

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Editor's Note Aquilion ONE wfma rgg w¿;ska meñKS CT ;dlaIKfha fmr<sldrhd CT mrSlaIKhla isÿ lsrSfïoS fuf;la wfma rfÜ ck;dj fukau ffjoHjrekq;a wkqo;a udos,sh jQfha frda.shd .ekaá%h fkdfyd;a l=yrdldr ia:dkhg we;=,a l< miq b,lal lrk bkaøs ia:dkh m%;sìïn .; lsÍug jfÜ we;s úlsrK úfudapl wvq ;rfï jg 8-12la j;a lrleúh hq;= njhs' fuysoS N%uKh jk jghla" jghla mdid úlsrK j¾Idjla frda.shd u; m;s; fjhs' kuq;a óg jir lsysmhlg cmdkfha fgdIsnd iud.u iajlSh oS¾>ld,Sk m¾fhaIK j, m%;sM<hla jYfhka jghl N%uKhlska''' jeäu jg follska úYsIaG ;;a;ajfha CT m%;sìïn ks¾udKh lrk kjH CT hka;%hla ks¾udKh lf<Ah' tla w;lska frda.shd ksrdjrKh jk úlsrK Odrdj wvq lrk w;f¾ wfmalaIs; wruqK - tkï frda.h y÷kd.ekSu jvd;a ksjerosj''' jeä f;dr;=re iys;j ,ndoSug iu;ajQ fuu moaO;sh Aquilion ONE CT scanner hka;%h hkqfjka y÷kajk ,oS' th Dynamic volume CT kï w¿;ska y÷kd.;a ;dlaIKhla weiqre lr.;a ch.%yKhla úh' fuh m%;sìïnfõoh ;=< úma,ùh fidhd.ekSula jYfhka ffjoH f,dalfha iïNdjkdjg md;% jQj;a jir .Kkla hk;=re fuys fiajdj ,nd .ekSug bosßma; jQfha f,dalfha w;f,diaila jQ iqmsß frday,a lsysmhla muKs' fuu hka;%hla ia:dms; lsÍug jehjk uyd OkialkaOh jeä fofkl=g wNS; mshjrla .ekSug n, meje;ajQ uQ,sl ndOdj úh' flfia fj;;a fuu Aquilion ONE CT scanner hka;%h y÷kajd oS yqfola jir y;la muKla .;afj;aoS kjf,dal frdayf,a fuu hka;%hla ia:dms; lsÍu tu frday,a md,kdêldßfha ch.%yKhlg jvd rfÜ;a ch.%yKhla fldg wm i<luq' fuu hka;%h y÷kajdoSu;a iu.u wfma rfÜ úlsrK frda. ksOdk l%ufõohg oSma;su;a ;drldjla mEjQjdla jeks Yla;shla ,efnKq we;' fï rfÜ ienE Wreulaldrhka jk fï rfÜ uyck;djg myiqfjka fuys fiajdj ,nd.; yels jk fia oeßh yels uqo,lg fuu fiajdj wdjrKh lsÍug lS¾;su;a frday,a md,kdêldßh lghq;= lrk njg wmg úYajdih' Ndr; .=K;s,l - úOdhl l¾;D bharata.gunathilaka@gmail.com

The Pioneer Health & Medical Journal 20 ldKavh 2014 - 02 l,dmh

Editor In - Chief Bharata Gunathilaka Founder Editorial Consultant Late. K.M. Gunathilaka Feature Associates Dr. Sanath Senanayaka Dr. Chaminda Premathilaka Dr. Nalaka Ranasingha Chandrani Rathnayaka (Nursing Officer) R.A.D.T. Priyadarshani (MLT) Prasanna Dissanayaka (Occupational Therapist) Sahan Siriwardhana (Pharmacist) Dinesh Priyal Darshana (Radiologic Technologist) Shamal Indika (Nuclear Medical Technologist) Shamali Pathirage S.M.D. Senevirathne CREATIVE PRODUCTION Ad-mire Advertising Manager Amitha Wickramarachchi dapw1234@yahoo.com 0778150270 | 0717622760 Type Setting Chathurika Sandamali Printing/Circulation Imashi Printers, #96A, Wanatha Road, Gangodawila, Nugegoda. WAIDYAWARAYA is a intellectual property of Healthwatch Publications Viharakele,Diyatalawa. Tel: 057 22 29040 | Fax: 057 22 29040 E-mail: info@waidyawaraya.lk facebook.com/WaidyawarayaMagazine

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Technology f,v frda. y÷kd.ekSfï wfma ld,fha lsre< ysñ rcacqrefjda Aquilion ONE CT scanner

f,v frda. y÷kd.ekSfï wfma ld,fha lsre< ysñ rcacqrefjda Aquilion ONE CT scanner

wNskjfhka kjf,dal frdayf,a ia:dms; CT hka;%h;a iu.ska wmg;a tys fiajh ,nd.ekSfï wjia:dj ffjoH úoHdfõ fmruqKq n,weKsh - m%;sìïnfõoh ffjoH úoHdj kï iEu úgu úoHdfõ yd ;dlaIKfha by<u myi ,nk flfIA;%hhs' th tfiau úh hq;a;dy' ukao" ñksia cSú; iqjm;a lsÍfï ioa wruqK ffjoH úoHdfõ moku ù we;s ksidfjkah'

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ffjoH úoHdj by<u ñksia oeKqfï''' ks¾udKd;au;djfha tjka myila ,n;aoS tu ffjoH úoHd flafIA;%h ;=< by<u oeKqu fuf;la Ndú;d jQfha m%;sìïnfõoh (Imaging) ;=<hs' ú,afy,aï fldxrâ frdkaÜcka" tlaia lsrK fidhd.ekSfuka miq CT, MRI, Ultra Sound yd PET wdoS úúO YÍrh úksúo olsk m%;sìïn ;dlaIKhka ukqIH ixy;shg l< fiajh iq¿mgq fkdfõ' CT ;dlaIKh f,v frda. y÷kd.ekSfuys,d oekg oYl lsysmhl isg isÿ lrkafka iq¿ mgq fiajhla fkdfõ' mdka f.ähl fm;s lmkjdla fuka ia:rfhka ia:rh YÍrh fjkalr ta ;=< wmßñ; ldhjHÉfPaod;aul f;dr;=re ,ndoSug fuu ;dlaIKh iu;ah' iïm%odhsl CT hka;%hlg mÍlaIKhla isÿ lrkakg .;jQ ld,h fkdys;k ;ï iq¿ ld, mrdihlg iSud lrñka fuf;la frda.Ska isrere msi yud .sh úlsrK jeiai b;d wvq w.hlg m;a lrñka iqmeyeos,s m%;sìïn b;d wvq úlsrK ksrdjrKhlska ,ndoSug iu;a Aquilion ONE kï jq m%n, kj mrïmrdfõ CT hka;%hla kjf,dal frdayf,a fiajhg oeka tla ù ;sfí' fuu kjH" úia;S¾K yelshdjkaf.ka mßmQ¾K Aquilion ONE CT hka;%h oeka wfma rfÜ frda.Skaf.a wdhq wdfrda.H iïm;a;sh idOkh lrñka b;d jákd fufyhla fï rfÜ frda.Skaf.a frda. ksOdk úksYApfhys,d isÿ lsÍug kshñ;h'

Aquilion ONE is the culmination of a decade of dedicated research and establishes a new frontier in CT imaging, offering advanced applications that can significantly enhance patient care while reducing the cost of healthcare worldwide.

fuu kjf,dal frdayf,ys wNskjfhka ia:dms; Aquilion ONE CT hka;%h ms<sn|j úia;r we;=<;a mßiudma; újrKhla fï iu.ska bosßm;a flf¾'

CT mÍlaIK Aquilion ONE CT scanner, CT ;dlaIKfha yerjqï ,laIh iksgqyka l< ;dlaIKh úuiSug fmr CT ;dlaaIKh iïnkaOfhka uQ,sl wjfndaOhla ,eîu fhda.H jkq we;' Computerized (or computed) Tomography ke;fyd;a Computerized Axial Tomography (CAT) hkqfjka ye|skafjk mÍlaIKhloS uQ,sl jYfhka YÍrfha f;dr;=re ,ndoSug Ndú;d flfrkafka tlaia lsrKhhs' l=yrdldr .ekaá%hl frda.shd fydjd m%ia;=; bkaøsh ia:dkhg úlsrKh uqod yßk w;r yd;ami iú lr we;s tajd .%yKh lr.kakd WmlrK /ilska (Array of Detectors) úúO fldaK Tiafia YÍrfha m%;sìïn ix{d mß.Klhlg hjkq ,efí' mß>Klh tlS ix{d ffjoHjrekg mÍlaId l< yels m%;sìïn njg m;a lrhs'

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Technology f,v frda. y÷kd.ekSfï wfma ld,fha lsre< ysñ rcacqrefjda Aquilion ONE CT scanner

Toshiba was founded in 1875, and operates a global network of more than 670 companies, with over 191,000 employees worldwide and annual sales surpassing US$60 billion. Toshiba is a leading manufacturer of diagnostic medical imaging systems and comprehensive medical solutions such as CT, Cath & EP Labs, X-ray, Ultrasound, Nuclear Medicine, MRI and information systems.

Aquilion ONE CT scanner fuf;la wkqo;a úYsIAG;u m%;sìïn ;dlaIKh iu.ska CT ;dlaIKh mrïmrd .KkdjloS úúO ch.%yK w;am;a lr.kakd ,oS' ;%sudKrEmS m%;sìïn ,nd .ekSu tla ch.%yKhls' Helical CT, Multi Slice CT wdoS jYfhka m%;sìïn ,nd.kakd woshr jvd myiq jQfha fï ch.%yK j, m%;sM<hla

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fm!oa.,sl frday,a flfIA;%fha woaù;Sh fmr.ukalrejd kjf,dal frday, kjf,dal frday, fï rfÜ ckyo oskQ woaù;Sh fm!oa.,sl frday,hs' fï rfÜ úiQ uyd jHdmdßlfhl= odkm;sfhl= fukau foaYudulfhl= jQ osjx.; tÉ'fla'O¾uodi ue;s÷ka ixl,amhla wkQj t;=uka mqfrda.dñ;ajfhka wdrïN jqKQ kjf,dal frday, fï rfÜ fm!oa.,sl frday,a flafIA;%fha wxY / il m%drïNlhd úh' uq,au fm!oa.,sl frday,a flafIa;%fha oeä Wmia:dk tallh l%shd;aul jkafka kjf,dal frdayf,aoSh' fm!oa.,sl wxYfha uq,au CT hka;%h l%shd;aul jkafka kjf,dal frdayf,aoSh' mshhqre ms<sld l,a h,a we;sj y÷kd.kakd uefuda.%Eï hka;%hla uq,skau fm!oa.,sl frday,l ia:dms; jkjd kï tao kjf,dal frdayf,aoSh' wo ojfia uy;a ckm%sh;djhg m;aj ;sfnk ,emriafldms ie;alula uq,skau fm!oa.,sl frday,l isÿ flreKd kï tys f.!rjho w;am;a jkafka kjf,dal frday,guh'fï rfÜ

m%:u nhsmdia ie;alu isÿ l< kjf,dal frday, m%:u Cardiac Catheterisation ridhkd.drho ia:dms; lrKQ ,eîh' úYsIAG;u m%;sìïn udos,shla jk MRI moaO;shla uq,skau fiajhg tla lrKQ ,enQfhao kjf,dal frdayf,aoSh' fujr Aquilion One - m%;sìïn ;dlaIKfha iqr;=r''' l,am jDlaIh jYfhka ie<flk uy`.= wfma ld,fha m%;sìïn ;dlaIKh fï wdldrhg ck.; lrjk kjf,dal frday, zzfm!oa.,sl frday,a flafIA;%h ;=< fmr. ukalrejdZZ hk ikakduh oerSug jvd;a u iqÿiaid fkdjkafkao @

The ability to acquire the entire organs with one volume scan opens the door to new diagnostic possibilities.

jYfhks' Aquilion ONE CT scanner hka;%h fuf;la úlsrK m%;sìïn kj fidhd.ekSï w;f¾ jvd;au l;dnyg ,lajQ úYsIAG;u m%;sìïn ;dlaIKh f,i wújdofhka ms<s. kq ,nkafka th fuf;la CT mÍlaIK isÿ lsÍfïoS w;aú|s .eg¿ ish,a,u mdfya úch.%yKh l< ;dlaIKfhka lsisjlg iu l< fkdyels''' tkï wiuiu m%d;syd¾hhlau jk neúks' CT mßf,dalkhg YÍrfha iEu bkaøshhlau mdfya mÍlaId l< yelsh' yosis wk;=re j,g ,lajQ wkfmalaIs; frda.Skaf.a isg ld,hla ;siafia mj;akd úúO wdndO''' ysájk W;aikak

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Technology f,v frda. y÷kd.ekSfï wfma ld,fha lsre< ysñ rcacqrefjda Aquilion ONE CT scanner

jk wdndO /ila ks¾Kh lsÍug fuu mÍlaIK j,g yelshdj ;sfí' yD;a" iakdhq" <ud" ms<sld wdoS úúO jmiÍkaj, ld¾hlaIu frda. ksOdk fy<sorõ lsÍug CT ;dlaIKfhka wo ojfia iemfhkafka uy`.= jQ iïudouls' isysk uejQ ;dlaIKh oeka kjf,dal frdayf,aoS ÿgq ienEjlauh''' fuf;la ojila o¾YSh CT mÍlaIKhl idOKSh ,laIKhla jQfha frda.shd l=yrdldr .ekaá%h ;=<g ia:dms; l< miq ta wdY%s; Detectors mßN%uKh fjñka os.= ld,hla uq¿,af,a mßf,dalkh isÿùuhs' fï .;jk ld,h ie<lsh hq;= ld,hla jk w;r jvd;a .eg¿j jQfha iuia; ld,h mqrdu frda.shd wkjr; úlsrK m%jdyhlg f.dÿre ùuhs' fï ksid ld,hl isgu

úlsrK ffjoHjreka m%d¾:kd l< me;=ula úh' ta''' mßf,dalh ld,h wvq fõjd''' frda.shd wkjr;fhka ksrdjrKh jk fïid úlsrK m%udKh wvq fõjd hkakh' fgdIsnd fldamf¾Ika iud.u oYlhl muK ld,hla ie,iqï lr ksIamdokh lrk ,o Aquilion ONE CT mßf,dalk hka;%h úi÷ï ,nd ÿkafka fï b,a,Sugh' ienúkau th frda.shd ksrdjrkh jk úlsrK m%udKh yd mÍlaIKhg .;jk ld,h wvq lrkjd;a iu.u Ys,amSh jYfhka ;j;a jákd m%;s,dN /ila w;am;a lr oS ;sfí' Toshiba Aquilion ONE hka;%h lsre¿ me<| isákafka f,dalfha

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m%:u Dynamic volume CT hka;%h jYfhks' YÍrfha reêr .ukd. ukh" Yajikh yd wdydr wjfYdaIKh jeks .;sl bkaøsh l%shdldß;ajhka ;%sudKrEmS iajrEmfhka fkdj l%shdlrk wjia:dfõu .%yKh (Capturing) l< yels ùu fuu kjH CT moaO;sfha úfYAI;ajhls' ;%sudKrEmS iajrEmfhka blaujd hñka fuu YÍrfha .;sl l%shdldß;ajhka .%yKh lr.; yels 4D m%;sìïn ksÍlaIKhg bv ie,iSu ksidu fuh f,dj m%:u Dynamic volume CT ;dlaIK jHjydr lrk m%;sìïn udos,sh f,i b;sydihg tlaj ;sfnkafka CT ;dlaIKh u;= fkdj MRI, Ultra Sound yd PET wdoS m%;sìïn udos,ska ;=<o m%uqLhd fjñks' fï Dynamic volume CT ;dlaIKh ksid fï hka;%h Ndú;dfjka CT mÍlaIKhlg .;jk ld,h úkdä lsysmhlg muKla iSud l< yels fõ' tu ksid úlsrKhg ksrdjrkh jk ld,ho mdrdkaO ridhk (Contrast Media) Ndú;d lrk m%udKho wju fõ' Speed - tlu N%uKhska ldßh wyjr l< yelshs tla N%uKhlskau mÍlaIKh iïmQ¾K lsÍfï ffjoHjrekaf.a isyskh ienE lf<A kj Aquilion ONE CT mßf,dalk hka;%hhs' ydohjia;=j" ms;a;dYh'' fud<h fï wdoS ljr fyda bkaøshhla fï ksid yqfola tla N%uKhlska mukla m%;sìïn.; lr .ekSug fï ksid yelshdj ,eî ;sfí' fuf;la Ndú;fha mej;S CTmoaO;s fï i|yd N%uK 7-10 la muK Wmfhda.s lr.;a nj isysm;a lrk l< fuh fl;rï ch.%yKhlao@

Real-time 3D information jvd;a iqmeyeos,s l%shdldÍ m%;sìïn Ouks.;''' Ysrd.; wdoS reêr kd, wdY%s; mßjykhka" bkaøSsh l%shdldrs ùu wdoS .;sl l%shdldrs;ajhka tiekska .%yKh lr.ekSfï yelshdj (Realtime whole organ dynamic volume analysis) iys;j ks¾udKh l< m%:u m%;sìïn moaO;sh f,io Aquilion ONE CT mßf,dalk hka;%h b;sydihg tla jkq we;' frda. y÷kd.ekSu blauKska ' wu;r mÍlaIK wjYH kE''' fï ksid wu;r ffjoH mÍlaIK /ilska Tn ksoyia jkq we;' ksoiqkla jYfhka yDoh.; frda.hloS frda.shdf.a iajNdjh wkQj ECG, Calcium study, CT Angiography (CTA), Nuclear test and Catheterisation wdoS mÍlaIK / ila kshu lrk w;r ta iïmQ¾K lsÍug osk lsysmhla .;fõ' wxYNd. ;;a;ajhloS CT scan and MRI wdoS mÍlaIK kshu lrk w;r tajdgo ie<lsh hq;= ld,hla .; fõ' kuq;a oeka kjf,dal frdayf,a Tfí fiajhg lemù isák ksid meh lsysmhlska Tng frda.h .ek mßiudma; frda. úksYaphla ,nd.; yels jkq we;' yDo wiamkao Cardiac arrhythmia fyda yDo .eiau yD;a m%;sìïnlrkfhaoS kshñ; m%;sìïn ,nd .ekSug ndOdjla jQfha w;S;fhaoSh' fuu kj CT hka;%h wd.ukh;a iu.ska ljr yD;a .;sl l%shdldß;ajhla udOHfha jQj;a m%Yia; uÜgfï m%;sìïn ,nd.ekSfï yelshdj w;am;a ù ;sfí'

ffjoHjrhd

Breaking Health News ffjoHjrhd mqj;a úuiqu

Breaking

Health News Depo tone mjq,a ie,iqï tkak;a Ndú;h ;ykï flfrhs

iqrlaIs;;djh Wfoid Y,H wdrlaIK msßlaiqï ,ehsia;=jla miq.shod fi!LH wud;HxYh úiska y÷kajd fok ,oS'

Depo tone kue;s mjq,a ie,iqï tkak; Ndú;d lsÍu iy wf,úh jydu l%shd;aul jk mßos ;ykï lr ;sfí' l,amsáfha mosxÑ 24 yeúßos ujla mjq,a ie,iqï wjYH;djhlg fm!oa.,sl wdfrda.HYd,djlg .sh miq wod, tkak; ,nd.ekSfuka miqj weh ñh hdu fuhg mdol jQ fya;=jhs'

iEu rglgu fujka msßlaiqï ,ehsia;=jla m%ldYhg m;a lrk f,i f,dal fi!LH ixúOdkh úiska Wmfoia oS ;sfnk w;r ta wkqhñka fi!LH wud;HxYh úiska fï mshjr f.k ;sfí' Y,Huh l%shdj,sh ;=<oS isÿjk w;ajeroSï yd m%udo ùï ksid isÿjk urK je<elaùu fuys wruqKhs'

fuu wjdikdj;a urKfhka miqj Depo tone osjhsk mqrd Tiqi,a j, we;s f;d. T!IO wêldßfha ks,OdÍka fj; ,nd.ekSug lghq;= fhdod we;s w;r fuu tkak; yereKQ úg ;j;a fjk;a tkak;a ;sfnk ksid fuu wjYH;djh bgq lr.ekSfï úl,am ud¾. we;s nj n,OdÍka m%ldY lrhs'

j¾Ihlg f,dalh mqrd ie;alï oi,laI 242la muK isÿjk w;r thska ñ,shk 7la muK fokd ixl+,;djhka fya;=fldg f.k úúO mSvdjkag m;afõ' wfma rfÜ jirlg isÿ flfrk ie;alï m%udKh 70"000la muK fjhs'

ie;alï j,g Ndckh jk frda.Skaf.a iqrlaIs;;djh idlaId;a lrñka Y,H wdrlaIK msßlaiqï ,ehsia;=jla m%ldYhg m;a flf¾' osjhsfka frday,Aj, Y,Hl¾u isÿ lsÍfïoS tajdfha .=Kd;aul nj fukau ie;alïj,g ,lajk frda.Skaf.a

rEm,djKH wdf,amk yd T!Iëh wdf,amk l,a bl=;a jQ oskh yd ksIamdos; oskh nyd¨fïu uqød ;eîu wksjd¾h flf¾ l,a bl=;a jQ rEm,djKH wdf,amk yd T!Iëh wdf,amk fndfydauhla osk fjkia lr h,s fj<|fmd<g ksl=;a lrk neúka ish¿u rEm,djKH yd

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T!Iëh wdf,amk nyd¨fïu l,a bl=;a jQ oskh yd ksIamdos; oskh uqød ;eîug jydu mshjr .kakd f,i fi!LH wud;H ffu;%Smd, isßfiak uy;d wud;HxY ks,OdÍkag ksfhda. lr ;sfí'

wia:dk .; lrk ,o w;r jvd;a wdkafoda,khg ;=vq ÿka ldrKh jkafka tu w;=reoka flreKq msgm; yereKQ úg fjk;a msgm;la fidhd .ekSug fkdyels ;rï fï mk; wdh;k lsysmhlau yryd ,>q ùuhs'

fndfyda wdf,amk j¾.j, msg; meleÜgqfõ muKla l,a bl=;a jQ oskh yd ksIamdos; oskh igyka lr wdf,amkh l,a bl=;a jQ miq fmÜáh muKla udre lr l,a bl=;a jQ T!IO kej; fj<|fmd<g ksl=;a lrk l+g cdjdrula ms<sn|j meñKs,s lsÍfuka miqj fuu mshjr f.k ;sfí' fï ms<sn|j úêúOdk kqÿf¾oSu ksl=;a lsÍug wud;HxYh mshjr .ekSug kshñ;h'

bosß ld,fhaoS fyoshka" mßmQrl ffjoH ks,OdÍkaf.a úYd, ys`.hla ishhg 45lau rdcH fiajh m%;slafIAm lr,d'''

kj T!IO mk; cqks udifha isg''' @ fï jif¾ cqks udifha isg kj T!IO m%ñ;s wêldÍ mk; l%shd;aul lsÍug msUqrem;a ilia fjñka ;sfí' uydpd¾h fiakl ììf,a fï rgg y÷kajd ÿka T!IO ms<sn|j cd;sl m%;sm;a;sh .=re fldg .ksñka iïmdos; kj T!IO m%ñ;s wêldÍ mk;g kS;sm;sjrhdf.a wkque;sh ,eî ;sfnk w;r th wud;H uKav,hg bosßm;a lr wkque;sfhka miqj ud¾;= udifhaoS md¾,sfïka;=jg bosßm;a lsÍug kshñ;h' m<uq T!IO mkf;a flgqïm;a 2011 j¾IfhaoS kS;s flgqïm;a fomd¾;fïka;=fõ ks,Odßkshla úiska

miq.shod fi!LH wud;HxYh úiska WmdêOdÍ mrsmQrl" w;=re ffjoH iy fyoshka úYd, lKavdhulg m;aùï m%odkh lrk ,o w;r tu m;aùï ,nd.ekSug fkdmeñKs m%udKh ishhg 45lg wêlh' fuu fiajdjka flfryS wud;HxY ks,OdÍka olajk l=vïudf.a ie<ls<s miq.sh ld,h ;=< úYd, jYfhka jeä jQ w;r fï ksid l,lsÍug m;a mqyqKQ WmdêOdÍka fm!oa.,sl ffjoH wdh;k fj; fiajhg hdfï m%jK;djhla we;s j ;sfí' fï wkqj bosß ld,h ;=<oS rdcH wxYfha Wla; jD;a;Skaf.a fiajd kshqla;sh úYd, jYfhka wvq jkq we;' ksoyia wOHdmkfha jrm%dido ,nd .ksñka Wmdê iïmQ¾k lrk fudjqka uyck;djg fiajh lsÍug fufia bosßm;a fkdùu fuu jD;a;Ska flfryS ks,OdÍka olajk wdl,am fya;=fldg f.k isÿjkakla nj mßmQrl ffjoH taldnoaO n,uKav,fha m%ldYlfhla wm yd mejiSh'

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Theme Story ore .enla .íid jk yeá .íidj iy mqkrdj¾;k .íidj

ore .enla .íid jk yeá .íidj iy mqkrdj¾;k .íidj

Abortion/ Miscarrige & Recurrent Miscarriage m%ij yd kdrs úfYAI{ ã'tï'ta'l=udr osidkdhl MBBS, MD, MRCOG (UK) fcaïia mecÜ úYAj úoHd, uydfrda.HYd,dj tx.,ka;h —.íidj˜ hkq fndfyda fofkla wid we;s jokls¡ mqj;am;aj, úáka úg m<jk" kS;s úfrdaë .íid uOHia:dk jeg,Sï .ek Tn ks;r ks;r oek.kakd ksidfjkau ore.eí úkdY lrk .íid ia:dk .ek Tn oeKQj;ah' kuq;a ;u f,hska isrefrka fmdaIKh ,nñka oyila me;=ï fudaÿ lrk ore .enu úfgl ujg;a ryfia brKï .ukl fhfok wjia:do ke;af;a fkdfjo @ fï tfia isÿjk .íid ms<sn|j újrKhls' orefjl= iqrlaIs;j uõl=i fyd;a ld,h orefjl= ms<sis| .ekSfïoS —l<,h˜ .¾NdIh ;=< j¾Okh ùug mgka f.k i;s

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37-42 la muK .; jQ miq orejl= f,i Wm; ,nhs¡ fuu .ufkaoS ffi, lsysmhl wjia:djla f,i wdrïN ù úúO wjê miq lrñka mQ¾K f,i j¾Okh jQ orejl= njg l<,h m;a fõ¡ fuysoS orejl= f,i cSj;a ùug kï fuu l<,h wvqu .Kfka i;s 24la j;a .¾NdIh ;=< j¾Okh úh hq;=h¡ iajdNdúlj we;sjk .íid tfy;a iuyr wjia:dj,oS l<,h fuu w;HjYH i;s 24l ld,h iïmQ¾K lsÍug fmr iajdNdúlju j¾Okh kej;Su fyda fldgia jYfhka fyda iïmQ¾K jYfhka fhdaks ud¾.h yryd msg;g ìysùu isÿúh yel¡ fï wkqj fï wdldrfhka wyjr jk .¾NKSNdjh wm —.íidj˜ f,i y÷kajkjd¡ fuh iïmQ¾Kfhkau iajNdúlj isÿjkakla¡ wkdrlaIs;j isÿ rk kS;s úfrdaë .íid tfy;a iuyr wjia:dj,oS hï ujlg lsishï frda.S ;;a;ajhla ^Wod( oreKq yDo frda.hla& ksid .¾NKSNdjh ord .ekSug fkdyels kï ffjoHjreka úiska ujf.a cSú;h fírd.ekSu i|yd .íidjla isÿl, yelsh¡ wms th "Therapeutic Termination of Pregnancy" f,iska yÿkaajkq ,nkjd' tfy;a fï wdldr folgu wod, fkdue;sj kS;s úfrdaë .íid lsÍï isÿ fjkjd¡ th Y%S ,xldj ;=< kS;s úfrdaë jkjd muKla fkdj oreKq ixl+,;d ldka;djg f.k fokjd¡

fndfyda úg fujeks .íid lsÍï isÿ lrkafka ksis mqyqKqjla fkd,enQ mqoa.,hka uqo,a bmehSu i|ydhs¡ tu ksid úúO wdidok (Pelvic inflommatory disease, ^fï iïnkaOfhka ,smshla fuys ,smshla m<jqks¡& oS¾>ld,Sk há nfâ fõokdj (chronic abdomin al pain) iodld,slju oreM, fkd,eî hdu (Subfertility) ud;D urK (Maternal death) iy úúO udkisl wdndO j,g f.dÿre ùug ldka;djkag isÿjkjd¡

ujf.a jhi wjqreÿ 35g jvd jeä kï iy mshdf.a jhi wjqreÿ 40g jvd jeä kï .íid ùug jeä wjodkula ;sfhkjd¡ orejka ,eîug fyd|u ld,h ldka;djlg kï wjqreÿ 20-30 w;r fjkjd¡

fya;=jla fiùu W.yg iajdNdúl .íid .íidùï b;d iq,nh¡ Tn .íidjla w;aúos ldka;djla kï jrla fyda fojrla .íidjla isÿ jQ muKska Tng úfYaI mÍlaIK isÿ lrkafka keye¡ fuhg fya;=j kï mÍlaIK isÿl<o

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Theme Story ore .enla .íid jk yeá .íidj iy mqkrdj¾;k .íidj

fya;=jla fidhd.ekSug fuys,d wmyiq ùuhs¡ fndfydaúg úfYaI m%;sldr wjYH fkdùu iy fndfyda ldka;djkaf.a B<Õ .¾NKSNdjh iajdNdúlju id¾:l ùu ksihs¡ tu ksid .íidjla isÿ jQ muKska ta .ek wkjYH ìhla we;s lr.; hq;= keye¡ tfy;a ishhg 1] l muK orejl= n,dfmdfrd;a;=j isák ldk;djkag .íidùï tl os.gu isÿúh yel¡ .íid ùï ;=kla fyda Bg jeä .Kkla tl fm<g isÿjqjfyd;a th y÷kajkafka —mqkrdj¾;k .íidj˜ (Recurrent Miscarrige) f,ihs¡ fuu ;;a;ajhg kï úfYaI mÍlaIK m%;sldr úfYaI{ kdßfõo ffjoHjrfhl=f.ka ,nd.ekSug isÿ fjkjd¡ .íidùu isÿjkafka m<uq udi 3

l=i ;=< orefjl=f.a j¾OKSh wjia:d

.¾NKS iufha uq,a wjêfhaoS Bacterial Vaginasis keue;s fhdaks >%djhla we;slrk wdidokh udi 3-6 w;r ld,fhaoS isÿjk .íidjlg fya;=úh yel¡

we;=,;oS o tfyu ke;akï udi 3-6 w;r ld,fhaoSo hkak u; .íidjg fhfok m%;sldr l%u fjkia fjkjd¡ .íidùu isÿjQfha udi 3-6 w;roS kï tla .íidjlska miqj jqjo iuyr úg m%;sldr lsÍu wjYH fjkjd¡

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ñksia j¾Kfoay j, we;sjk wvq¨yq`vq;d ksido .íid isÿ jkafkah

mqkrdj¾;k .íid ùï j,g fya;= fudkjdo@ Recurrent Miscarrige ujf.a jhi, mshdf.a jhi .íid ùï j,g n,mdkjd¡ ujf.a jhi wjqreÿ 35g jvd jeä kï iy mshdf.a jhi wjqreÿ 40g jvd jeä kï .íid ùug jeä wjodkula ;sfhkjd¡ tu ksid wkjYH f,i oreM, m%udo lsÍu wjodkï jk w;r orejka ,eîug fyd|u ld,h ldka;djlg kï wjqreÿ 20-30 w;r fjkjd¡

.íidùu isÿjkafka m<uq udi 3 we;=,;oS o tfyu ke;akï udi 3-6 w;r ld,fhaoSo hkak u; .íidjg fhfok m%;sldr l%u fjkia fjkjd¡

tfukau Y%S ,dxlsl ldka;djkag kqmqreÿ jqjo ngysr rgj, ldka;djkaf.a wêl ÿïmdkh we,afldfyd,a mdkh iy wêl f,i Caffane wvx.= oE mdkh lsÍuo .íidj,g fya;= jkak mq¿jka¡ tjeks mqreÿ we;akï tajd w;ayeÍu b;du;a jeo.;a fjkjd¡ Anti Phospholipid Syndrome (APLS) fuu APLS keue;s frda.S ;;a;ajho mqkrdj¾;k .íidùï j,g m%Odk fya;=jla¡ fuu frda.S ;;a;ajfhaoS isÿjkafka YÍrfha wkjYH m%;sfoay (Antibodies) ksmoùuhs¡ ta wkqj Tjqkaf.a reêrfha úúO m%;sfoay ksmofjhs¡ tajd Antiphospholipid antibodies lshd y÷kajkjd¡ fuu m%;sfoay uÕska reêrh leá. eiSfï yelshdj jeä lrkjd¡ túg reêrjdyskS ;=<u wkjYH f,i leá.eiSï isÿù .íidùï, l,,fha

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Theme Story ore .enla .íid jk yeá .íidj iy mqkrdj¾;k .íidj

j¾Okh nd, ùï, fkdfïrE orejka ìysùu, jeoEufya wys;lr ;;a;aj we;s lrkjd¡ mÍlaIK isÿ lsÍug fya;= jk ;;a;aj 1' hï ldka;djlg .¾NKSNdjfha i;s 10 g fmr .íidùï ;=kla isÿjqùu 2' idudkH f,i j¾Okh jQ l<,hla .¾NKSNdjfhka i;s 10lg miq .íidùulg ,laùu' 3' .¾NKSNdjfha i;s 34lg fmr jeoEuy yS wys;lr ;;a;ajhla u; fkdfïrE ore Wm;la isÿ ùu' by; ldrKd j,g m%ia;=; jk ldka;djkag fuu frda.S ;;a;ajh we;aoehs mÍlaIK lsÍug wjYH fjkjd¡ mqkrdj¾;k .íidùï we;s ldka;djkaf.ka 15]lg muK fuu ;;a;ajh we;ehs fidhdf.k ;sfnkjd¡ fuysoS b;d jeo.;a lreK jkafka fuu frda.S ;;a;ajhg y÷kd.ekSfuka miqj id¾:l jYfhka m%;sldr l< yels ùuhs¡ frda. b;sydihg wkqj hï ldka;djlg APLS ;;aa;ajh we;aoehs ielkï reêr mÍlaIK uÕska fuh y÷kd.; yelshs¡ túg fuhg m%;sldr f,i .¾NKSiuh ;=<oS Asprin T!IOh iy Heparin T!IOh ,ndoSfuka .íid ùï j<lajd .; yel¡ cdkuh n,mEï u; we;sjk .íid Genatic Factors

.íidùï j,g ;j;a fya;=jla kï cdk úlD;s ;;a;ajhkah¡ fuh idudkHfhka 2-5] muK mqkrdj¾;k .íid ùï we;s ldka;djkag mj;skjd¡ fuysoS uõmsh hqj, idudkH jqj;a Tjqkaf.a we;s Tjqkag n,mEula ke;s cdk fjkialï (Balanced Reciprocal or Robertsonian transaction) Tjqkaf.a orejkag n,mdkjd¡ fï ksid l<,h idudkH f,i j¾Okh fkdjk w;r tu ldka;djkag mqkrdj¾;k .íid ùï isÿfjkjd¡ úfgl ck úlD;s .íidùï ;rï oreKq fkdjQj;a tu orejka úlD;s;d iys; orejka f,i W;am;a;sh ,eîug mq¿jk¡

.íidjla isÿ jQ muKska ta .ek wkjYH ìhla we;s lr.; hq;= keye¡ .íid ùï ;=kla fyda Bg jeä .Kkla tl fm<g isÿjqjfyd;a úfYaI mÍlaIK isÿlr m%;sldr úfYaI{ kdßfõo ffjoHjrfhl=f. ka ,nd.ekSug isÿ fjkjd¡

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fuu cdk úlD;s;d y÷kd.ekSug kï mqkrdj¾;k .íidùï isÿjk uõmsh hqj,f.a reêrh cdk mÍlaIKhlg (Parental Peripharal Blood karyotyping) iy l<, mgl (Products of conception) cdk mÍlaIKhlg ,lal< hq;=h¡

Genatist) iydh ,nd.ekSug isÿ fjkjd¡ tu úfYaI{ ffjoH Wmfoia u; fndfyda úg odhlfhl=f. ka Y=l%dKq fyda äïn ,nd .ekSu (Genrate donation) uÕska orejl= ìyslsÍu k<ore l%uh Ndú;h iy tysoS l<,fha cdk mÍlaIdjg ,lalr cdk úlD;s we;akï tu l<, bj; oeóu yd wjidk jYfhka fjk;a ujlf.ka orem, ,ndf.k orelug yod.ekSu fuu cdk úlD;s m%Yakhg ms<shu f,i ie<lsh yelsh¡

hïlsis ldka;djlg mqkrdj¾;k .íid ùï isÿjkafka cdk úlD;s cdk úlD;s fya;=fldg f.k kï ta i|yd úfYaI{ ffjoH iydh''' tkï cdk ms<sn| úfYaI{ ffjoH (Clinical

Wm;skau we;sjk .¾NdIfha jHqyd;aul fjkialï .¾NdIfha jHqyfha we;s fjkialï o .íidùï j,g n,mdkjd' fuu .íidùï fndfyda úg isÿjkafka udi

tfukau uõmsh cdkj, úlD;s;d ke;;a we;eï úg l<,fhau we;s cdk úlD;s uÕskao mqkrdj¾;k .íidùï isÿúh yel¡

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Theme Story ore .enla .íid jk yeá .íidj iy mqkrdj¾;k .íidj

3-6 w;r ld,fhaoS¡ fuu fjkialï ialEka mÍlaIKhla (Ultra Sound Scan) iy .¾NdIfha leurd mÍlaIKhla (Hysteroscopy) uÕska y÷kd.kak mq¿jka¡ fuu fjkialï Arcuate uterus iy Septate uterus jeks fjkialï úh yelshs¡ .¾NdIfha fuu fjkialï ksjeros lsÍug Y,Hl¾u l< yelshs¡ tu yelshdj .¾NdIfha jHqy fjkia ùfï m%udKh yd Bg wod, kùk myiqlï ;sîu" ffjoHjreka isàu jeks ldrKd u; r|d mj;skjd¡

ujf.a fydafudakj, wvqùï$jeäùï uÕska we;sjk frda. ;;a;aj j,oSo .íidùï fyda mqkrdj¾;k .íidùï isÿúh yelsh¡ fuysoS oshjeähdj" ;hsfrdhsâ .%kaÓfha frda. iy äïnfldaIj, we;s frda. ;;a;aj .íidùï j,g n,mdkjd¡

.eíf., ÿ¾j,ùu Cervical Weakness fuh n,mdkafka udi 3-6 w;r isÿjk .íidùï j,ghs¡ fuysoS ldka;djg m%ij fõokd fkdue;sj jqjo .eíf., újD; ù l<,h tys l<, mg, iuÕ fhdaks ud¾.h yryd msg;g meñK .íidj isÿ fjkjd¡ fuys we;s ÿIalr;djh kï .eíf., ÿ¾j, jqj;a .¾NKSNdjhla fkdue;s wjia:dj,oS tu .¾NdIfha fjkila olakg fkdue;s ùuhs¡ tu ksid .eíf., ÿ¾j, ùu mÍlaIKhla uÕska y÷kd.ekSu wmyiqhs¡ fuysoS frda. b;sydih u`.ska fuu ;;a;ajh y÷kd.ekSu b;du jeo.;a¡ frda. b;sydihg wkqj fujeks ;;a;ajhla we;akï .¾NKS iufhaoS .eíf.f,ys os. uekSu u`.ska fuu ;;a;ajh y÷kd.ekSug Woõ fjkjd¡ fuysoS ialEka mÍlaIKhla lr .eíf.f,ys os. uksk w;r tu os. 2¡5 fi'ñ' j,g wvq kï m%;sldr lsSÍu wjYH fjkjd¡ ta wkqj .eíf.,g ueiaula oeóu isÿ lrkjd¡ fuh l=vd Y,Hl¾uhla¡ fuu Y,Hl¾uh .¾NKS iufha i;s 14-24 w;roS isÿ lrkq ,nkjd¡ ujf.a frda.S ;;a;aj úuiqu ujf.a fydafudakj, wvqùï$jeäùï uÕska we;sjk frda. ;;a;aj j,oSo .íidùï fyda mqkrdj¾;k .íidùï isÿúh yelsh¡ fuysoS oshjeähdj" ;hsfrdhsâ .%kaÓfha frda. iy äïnfldaIj, we;s frda. ;;a;aj .íidùï j,g n,mdkjd¡

02 jk l,dmh

fuu frda. ;;a;aj reêr mÍlaIK iy ialEka mÍlaIK u`.ska y÷kd.; yelshs¡ jeo.;a foa kï fuu frda. ;;a;aj md,kh u`.ska fuu .íidùï j<lajd .; yels ùuhs¡ wdidok u.ska we;sjk .íid ´kEu oreKq ffjria fyda nelaàßhd wdidokhla .íidjlg fya;=úh yelsh¡ kuq;a mqkrdj¾;k .íidùï j,g wdidok u`.ska we;sjk n,mEu b;du;au w,amh¡ .¾NKS iufha uq,a wjêfhaoS Bacterial Vaginasis keue;s fhdaks >%djhla we;slrk wdidokh udi 3-6 w;r ld,fhaoS isÿjk .íidjlg fya;=úh yel¡ tfukau tu wdidokh u`.ska fkdfïrE orejka we;sùugo n,mdkak mq¿jka¡ tuksid fhdaks >%djhla .¾NKS iufhaoS we;akï th mÍlaIdjla u`.ska wkjYH f,i isÿjk .íidùula je<elaùug yelsjkq we;¡ reêrfha we;s fjkialï iuyr ldka;djkaf.a reêrh b;du;a myiqfjka wkjYH f,i leá.eiSug ,lajkak mq¿jka ¡fuu ;;a;ajh cdk u`.ska md,kh jk w;r mrïmrdfjka mrïmrdjg .uka lrhs¡ tjeks ;;a;ajhla we;akï tu ldka;djkag mqkrdj¾;k .íidùï iy orejdf.a j¾Okfha nd,ùï we;súh yel¡ fuu ;;a;ajh reêr mÍlaIK u`.ska y÷kd.;a;o t;rï úYajdiodhS m%;sldr l%u ke;¡

mqkrdj¾;k .íidùï j,g meyeos,s fya;=jla yuqjk wjia:dj, by; lS fya;= yuqjk w;r iuyr wjia:dj,oS mÍlaIK l<o lsisÿ fya;=jla fidhd.ekSug fkdyels fjhs¡ túg tu ;;a;ajh Unexplained recurrent abortion f,i y÷kajkjd¡ jdikdjlg fujeks úfYaI fya;=jla yuq fkdjQ wjia:dj, miq .¾NKS wjia:dj,oS id¾:l ore Wm;la isÿùug jeä bvlvla ;sfhkjd¡ thg wjYH jkafka osß.ekaùï iy uQ,sl wjêfha .; hq;= l%shdud¾. muKS¡ Wodyrlhla f,i Folic Acid ,ndoSu y÷kajkak mq¿jka¡ fuh ldka;djkag buy;a wiajeis,a,la jkq we;¡ ffjoH m%;sldr .ek l:d lsÍfïoS kdßfõoS úfYaI{ ffjoHjrfhl=f.a fiajh ,nd.ekSu w;HjYH fjkjd¡ ta wkqj frda. b;sydih mÍlaIK isÿlr ks.ukhlg t,fUkq we;¡ wjYH kï fjk;a úfYaI{ ffjoHjrekaf.ao iydh ,nd.kq we;s¡ oshK q q rgj, kï fï iä|ydu fjku ia:dms; ffjoH iNd we;;a wfma rfÜ kï idudkH kdßfõo idhkfhau fuu frda. ;;a;j a hg wjYH m%;l s dr lrkq we;¡ úfYAI{ ffjoH l=udr osidkdhl uy;df.a fuu ,smsh iïnkaOj woyia fhdackd iy .eg¿ we;akï lreKdlr narisuwasetha@gmail.com hk úoahq;a ,smskhg fhduq lsÍug ldreKsl jkak¡ th Tn oekqj;a lsÍug Tyq ork W;aidyhg bosßfhaoS uy;a ffO¾hhla jkq fkdwkqudkh¡

ffjoHjrhd

Obesity ueÈúfha isg we;eï l;=kaf.a uiams~q t,a,d jefgkafka wehs@

Obesity

ueÈúfha isg we;eï l;=kaf.a uiams~q t,a,d jefgkafka wehs@

02 jk l,dmh

;rndrej;a iu.u miqmi yUd tk .eg¿ lsysmhla fndfyda ldka;djkag ueÈ jhig tk úg uqyqK §ug isÿjk .eg¨jla jkafka isrer ;rndre ùu;a iu. YÍrfha ;ekska ;ek uiams~q t,a,d jeàuh' úfYaIfhka w;a j," je<ñfgka by< fldgi" Worh yd msg fome;a;" Wl=, jeks ia:dkj, fufia uiams~q t,a,d jeàu isÿ jk w;r fuh ldka;djlf.a rE imqjg wj,iaik fmkqula f.k §ug fya;=jk ;;a;ajhls' fuh ;rndrelu ksid uqyqK mdkakg isÿjk .eg¨ w;ßka tlls' ;rndrelu - j¾;udkh jk úg f,dalh mqrdu b;d nyq, f,iska olskakg ,efnk jix.;hla n÷ ;;a;ajhls' fuhg fya;= rdYshla n,mdhs'tA w;ßka úlD; jQ Ôjk rgdj" jerÈ wdydr mqreÿ iy cdkuh fya;= m%Odkh' ;rndrejg w; jkk fya;= úlD; jQ Ôjk rgdj hkq jHdhdu u|ùu" wêl f;,a iys; wdydr Ndú;h - tkï úfYaIfhkau i;aj f;,a wvx.= wdydr ks;r ks;r Ndú;h jeks oEh' jerÈ wdydr mqreÿ f,i úfYaIfhkau wêl le,ß iys; wdydr .ekSu ±laúh yelsh' laI‚l wdydr j, wêl f,i le,ß wvx.=h' tA wkqj iq¿ wdydr m%udKhlska jqj;a jeä le,ß m%udKhla YÍrhg tl;= fjhs'

le,ß jeä m%udKhla ,enqKq úg th tÈfkÞ m%fhdackh i|yd .;a miq b;sß fldgi YÍrh úiska ;ekam;a lr .kS' tA wkd.;fha wjYH;djhla we;s jQ úg m%fhdackhg .kakgh' kshÕh" id.;h" YS; ld,h jeks ´kEu ysÕmdvqjla we;s jQ wjia:djl YÍrhg wjYH ;rï wdydr fkd,enqKq njg fufia ;ekam;a lr we;s Yla;sh m%fhdackhg .ksñka YÍrh úiska ;udf.a meje;au i,id .kS' fuh fidndoyu u.ska fuhdldrfhka wmg Wreu lr ;sfnkafka wfma meje;au i|ydh' le,ß YÍrh ;=< ;ekam;a jkafka fïoh f,isks' le,ß hkq Yla;sh ,nd fok tAllhls' f;,a wdydrj, le,ß wêl m%udKhkaf.ka mj;S'

Worh" Wl=<" w;a wd§ ia:dkj, fïoh ;ekam;a ùfuka isÿjkafka wj,iaik ùu mu‚' kuq;a wlaudfõ fïo ;ekam;a jqfKd;a th isfrdaisia frda.h olajdu ÿrÈ. hdug yelshdj ;sfí'

;ekam;a jk le,ß bj;a lsÍug kï wm Yla;sh jeh l< hq;=hs fufia ;ekam;a jQ le,ß m%fhdackhg .kakg kï wm Yla;sh jeh l<

ffjoHjrhd

Obesity ueÈúfha isg we;eï l;=kaf.a uiams~q t,a,d jefgkafka wehs@

hq;=h' Yla;sh jeh jkafka lh fjfyid jevlsÍu iy jHdhdu lsÍu ;=<sks' kuq;a Tn YÍrh fjfyijd jev fkdlrk'' yß yeá jHdhduhla fkd.kakd flfkla kï Tn jeämqr .kakd yeu le,ß tllau fïoh f,i ;j ÿrg;a ;ekam;a ùu isÿfõ' fufia È.ska È.gu le,ß Yla;sh ;ekam;a jQ miq B<Õg isÿjkafka ôTng;a fkd±kSu Tn ;rndre ùuh' ;rndrej hkq frda. .Kkdjlgu uq,ls'

iug háka fïoh ;ekam;a ùu Tfí W;aidyh ;=<ska j<lajd .; yelsh' tA ;;a;ajh j<lajd .kakg yels kï fïoh YÍrfha ;eka ;ekaj, iu hg ;ekam;a ù uia .=,s fuka" gh¾ fuka Èiaùu bfíu j<lskq we;' thg l< hq;af;a jeämqr f;,a iys; wdydr .ekSfuka je<lSu iy jHdhdu .ekSu fyda YÍrh" fjfyid jev lsÍuh'

;rndrelu ksid we;sjk m%Yak lsysmhla wêl reêr mSvkh" Èhjeähdj" wxYNd.h" ikaêj, f.ùï fyj;a Tiaáfhda wd;rhsáia" yDohdndO" udxYfmaYs we§u ksid ;on, fldkafo lelal=u yg.ekSu wdÈh fï w;ßka m%Odkh' fï ldhsl frda. w;ßka iuyr tAjd Ôú; ydks we;s lsÍu ms‚io bjy,a jkq we;' Ôú; ydks we;s fkdl<;a ;rndrej ksid udkisl jYfhka Tfí is;g jo fok .eg¨jla jkafka iu we§u ksid t,a,Suhs' iu t,a,Su idudkHfhka ´kEu flkl=f.a <ud ld,fha§ iu ;o núka jeäh' tksid ifï wefok iq¿ nj wvqh' iug háka ;sfnk ia:rho ;o núka hq;=h' kuq;a ueÈ jhig tk úgu fï ;o nj wvq jk w;r tA ksid wefok iq¿ .;sh jeä fõ' fuh ;rndre whg

02 jk l,dmh

fukau isrer isyska whgo ueÈ jhfia isg n,mdk idudkH ;;a;ajhls' ueÈ jhfia flkl= ;rndre jQ úg isÿjkafka YÍrfha fïoh ;ekam;a jQ miq tu iu u;g ;j;a nrla megùuh' >k hula u;=msgg nrla ±uQ úg th fkdwe§ tf,iskau meje;sh;a wefok hula u;=msgg nrla ±uQ úg th ;j ÿrg;a we§ tu nr ksid ìug my;a ùu isÿfõ' fufia weÿkq iu u; fïoh ;ekam;a jQ úgo isÿjkafka tu nr ksid iu t,a,S lvd jefgk wdldrhg Èia ùuh' YÍr ;rndre jQ úg ;ekska ;ek uia .=,s fuka t,a,S fi,fjkafka fï ksidh' <ud fyda ;reK jhfia whl= ;rndre jQ úg fï ;;a;ajh olakg ke;' kuq;a tjeks wh ueÈ jhfika miqj fï ;;a;ajhg uqyqK §ug jeä wjldYhla ;sfí' fufia nr megjqKq úg isÿjkafka iu ;j ;j;a we§ hduhs'

ueÈ jhfia§ isg l%u l%ufhka iu we§u j<lajkakg neß fohls' kuq;a iug háka fïoh ;ekam;a ùu Tfí W;aidyh ;=<ska j<lajd .; yelsh' tA ;;a;ajh j<lajd .kakg yels kï fïoh YÍrfha ;eka ;ekaj, iu hg ;ekam;a ù uia .=,s fuka" gh¾ fuka Èiaùu bfíu j<lskq we;' thg l< hq;af;a jeämqr f;,a iys; wdydr .ekSfuka je<lSu iy jHdhdu .ekSu fyda YÍrh" fjfyid jev lsÍuh' túg fufia fïoh ;ekam;a ù YÍrh wj,iaik ùu uev mj;ajd .ekSug yelshdj ,efí' flfia jqj;a Worh" Wl=<" w;a wd§ ia:dkj, fïoh ;ekam;a ùfuka isÿjkafka wj,iaik ùu mu‚' kuq;a fï wdldrhg wlaudfõ fïo ;ekam;a jqfKd;a (fatty liver) th isfrdaisia frda.h olajdu ÿrÈ. hdug yelshdj ;sfí'

flfia jqj;a fuh md,kh lsÍu ojilska follska l< yels fohla fkdfõ' l=vd ld,fha mgkau wêl le,ß iys; wdydr orejkag §fuka je<lS ys£u m%Odku ldrKdjh' ;reK úfha§;a f;,a wdydr yels;dla wvq lsÍu ;=<ska w;sßla;hla f,i fïoh YÍrfha ;ekam;a ùu wvqù hhs' fuu.ska Tng ;rendrej j<lajd .; yelsh' ;rndrej j<lajd .; fyd;a ueÈúhg m;a jQ miq by; lS wdldrfha .eg¨ we;s ùuo bfíu je<lS hhs'

ffjoHjrhd

Nutrition fmdaIK .=Kh /flk f,i wdydr f;dard.kak ta wdydr ksjerosj fuf,i ms<sfh, lr.kak

ksis fmdaIKh - nqoaêhghs" Yla;shghs fmdaIK .=Kh /flk f,i wdydr f;dard.kak ta wdydr ksjerosj fuf,i ms<sfh, lr.kak zksis fmdaIKhZZ kï ´kEu jhia ldKAvhlg wo ojfia wjYHfhkau imqrd.; hq;= wdydr b,lalhls' fkal úis;=re''' fkal wdl,k fh¥ ri kyr mskd hk wdydr wo fldf;l=la we;;a tajd fkal .=K ,en fokafka kï ke;' ta fjkqjg Tn frda.S lsÍug''' we;eï úg Tn úYd, fi!LH wk;=rl fy<Sug ;rï ¥IH wdydro fj<|fmdf<A .crdfug wf,ú fõ' fujka miqìul Tfí ksis fmdaIK wjYH;d iqrlsk hy m%fõYhla ,en oSug fï úfYAIdx.h iïmdokh fjhs' fujr wmf.a wdrdê; f,aÅldj jkafkao jhU úYajúoHd,fha jHjydßl fmdaIK wxYfha lÓldpdßkS ;s,xld l=udß rK;=x. fufkúhhs'

.skaor fidhd .ekSfuka miq ñksid úúO wdldrhg ;u wdydrfõ, ilid .;ay¡ fïo .; fjkafka ta mßKdóh mshjfrys idOKSh jQ woshrls' wo ojfia úúO l%uhg ilid.;a wdydr j¾. fj<|mf<ys olakg ,efnk w;r wmo úúO l%u j,g wdydr ms<sfh, lr.ekSug mqreÿj isáuq¡ wdydr ms<sfh, lsÍfïoS tys fmdaIK .=Kh /flk f,i ms<sfh, lr.kafka flfiaoehs myod oSu fuu ,smsfhys wruqKhs¡ óg wu;rj wdydr fyda wdydr ms<sfh, lsÍug .kakd wuqøjH ñ,oS .ekSfïoS yd .nvd lr ;nd .ekSfïoS i,ld ne,sh hq;= lreKq lsysmhla ms<sn|jo Tnf.a wjOdkh fhduq lsÍug leue;af;ñ¡

iy,a ñ<oS .ekSfïoS yd msiSfïoS ie<ls<su;a úh hq;= lreKQ Tn n;la msi .ekSfïoS iy,a lsysm úgla oeäj w;=,a,d msßisÿ lrkjdo@ tfia kï tuÕska iy,a j, msg; isúfha we;s fmdaIK fldgia úfIaYfhkau úgñka î ldKaavfha úgñk bj;a úh yelsh' ;jo Tn fj<|mf<ka iy,a ñ,oS .ekSfïoS msßmyÿ lrk ,o iqÿ meye;s iy,a fjkqjg tfia fkdlrk ,o ksjqâv iys; iy,a ñ,oS .kafka kï Tng ,nd.; yels úgñka m%udKh jeäh¡

02 jk l,dmh

t<j¿ j¾. msiSfïoS l< hq;= yd fkdl< hq;= oE t<j¿ j¾. msiSfïoS os.= fõ,djla .skaor u; ;nd ;ïnd .ekSu fkdl< hq;= h¡ úgñka iS iy úgñka î ldKavhg wh;a úgñk myiqfjka WIaK;ajhg ksrdjrKh ùu ;=<ska úkdY ù hd yel¡ tu ksid fmd,alsß, l=¿nvq iy wfkl=;a wdydr msiSfïoS fhdod. kakd wuqøjH uq,skau ;eïîug ;nd fojkqj lmd.;a t<j¿ tla lsÍfuka úgñka j¾. úkdY ù hdu j<lajd .; yel¡

t<j¿ yd m<d j¾. wuqfjka wdydrhg .ekSfï jdis Tn m<d j¾. iy iuyr t<j¨ j¾." i,do f,i wuqfjka wdydrhg .kakjd we;s¡ fufia wuqfjka

ffjoHjrhd

Nutrition fmdaIK .=Kh /flk f,i wdydr f;dard.kak ta wdydr ksjerosj fuf,i ms<sfh, lr.kak

wdydrhg .ekSu uÕskao wmg ,nd.; yels úgñka m%udKh jeäh¡ lerÜ, îÜ, msms[a[d, f.daj, ;lald,s, ud¨ ñßia, m<d j¾. jeks wdydr wmg myiqfjkau fkdmsiQ wdydr f,i wdydrhg .; yel¡ túg WIaK;ajh fya;=fjka úgñka j¾. úkdY ù hdu j<lajd .; yel¡ fufia i,do f,i t,j¨ m<d j¾. wdydrhg .ekSfïoS thg Wïn,lv iy foys iaj,amhla tla lsÍfuka tys wvx.= jeä hlv m%udKhla YÍrhg Wrd .ekSug yelshdj ,efí¡

fmdaIKh o jeä nj m¾fhaIK u`.ska fidhdf.k we;¡ túg tys wka;¾. úgñka iS m%udKh jeä jkjd fiau tys we;s fmdaIK øjH Wrd .ekSug ndOd lrk ix>gl (anti-nutritional factors) wvq ùugo n,mdhs¡

t<j¨ iy m<d j¾. f,dl=jg lemSu;a fyd|hs

f;,a h,a h,s;a Ndú;d lsÍfuka j<lskak

;jo fuf,i t<j¨ iy m<d j¾. msi .ekSug fyda i,do f,i wdydrhg .ekSfïoS tajd b;d l=vd len,s j,g leãfuka je<lsh hq;=h¡ l=vd len,s j,g leãfïoS tajd jd;hg ksrdjrKh jk mDIaÀl j¾.M,h jeä ksid úgñka j¾. jd;h iuÕ m%;sl%shd lsÍu ;=<ska úkdY ù hdug we;s bvlv jeäh¡ m<d j¾. iy t<j¨ j¾. lemSfuka miq fiaoSfukao jeä úgñka m%udKhla c,fha osh ù hd yel¡

msh,s îc j¾. ;eïîug fmr /h uq¿,af,a fmf`.kakg yßkak

msh,s îc j¾. ^lv,, ljqms, uqx& wdydrhg .ekSfïoS tajd /hla fyda folla fmf`.kakg yer u|la me,jqKq îchla f,i ;ïnd fyda msi.ekSfuka miq wdydrhg .ekSfuka ,efnk

l=uk wdyrhla jqjo b;d os.= l,la .nvd lr ;ndf.k wdydrhg .ekSfuka je<lS isàu fi!LHhg ys;lr jkq we;¡

wm úúO wdydrj, j¾. .eUqre f;f,a neo wdydrhg .ksuq¡ kuq;a fufia wdydr .eUqre f;f,a neoSfïoS b;sßjk f;,a h,a h,s;a Ndú;d lsÍfuka je<lS isáh hq;=h¡ ukao h;a" tuÕska YÍrhg wys;lr fïo wï, j¾. (trans fats) ksmoúh yels neúks¡

02 jk l,dmh

fmd;a;;a .=K fkdje'' iuyr wdydr j¾. msiSug fmr tys fmd;a; bj;a lr msiSug wm mqreÿj isáuq¡ ^n;,, w¾;dm,a w,, fkdaflda,a, lerÜ, îÜ& kuq;a tajdfha fmd;a;g wdikakfha ;ekam;aj we;s úgñka yd LKsc ,jK m%udKh jeä ksid b;d uo jYfhka muKla fmd;a; bj;a lsÍug j. n,d .; hq;= h¡

t<j¨ ;ïnk úg ;eïnqï c,h úis lrKQ l=ug''' @ Tn t<j¨ j¾. ;ïnd wdydrhg .kafka kï tajd ;eïnQ c,h bj;a fkdlr iqma ms<sfh, lsÍfïoS fyda wfkl=;a jHdxck ms<sfh, lsÍfïoS tu c,h Ndú;d l< yels kï tu`.ska úgñka j¾. bj;a ù hdu wmg j<lajd .; yel¡ tu ksid laIqø ;rx. W÷fKka msiSu" yqud,fhka ;ïnd .ekSu ;oska jeiQ Ndckhl c,h iaj,amhla muKla oud msi .ekSfukao úgñka j¾. bj;a ù hdu j<lajd .; yels l%u lsysmhls¡

lerÜ" îÜ"msms[a[d" f.daj, ;lald,s" ud¨ ñßia" m<d j¾. jeks wdydr wmg myiqfjkau fkdmsiQ wdydr f,i wdydrhg .; yel¡ fufia wuqfjka wdydr .ekSfuka WIaK;ajh fya;=fjka msiSfïoS úgñka j¾. úkdY ù hdu j<lajd .; yel¡

fj<|fmdf<AoS ;sìh hq;= oeKqu wdydr j¾. fj<|mf,ka ñ,oS .ekSfïoS o wm ie<ls,su;a úh hq;= lreKq we;¡ ieuúgu w¨;a t<j¨" m<;=re" uia" ud¨ ñ,oS .ekSug j.n,d .; hq;= w;r t<j¨" m<;=re ñ,oS .ekSfïoS iEuúgu —,má˜ m%fNao ñ,oS .; hq;=h¡ ;jo fj<|mf,ys úh,d wiqrd we;s uqoaorm,x jeks m<;=re j, wvx.= úgñka m%udKh wvqh¡ tfiau ákaj, wiqrd we;s t<j¨ yd m<;=re j,o wvx.= úgñka m%udKh wvqh¡ ukao h;a tajd by, WIaK;ajhlg tla fldg úIîcyrKh lrk neúks¡

lD;%Su fmdfydr fkdfh¥ wdydr yels yeu úg .kak yels muK lD;%Su fmdfydr j¾. fkdfh¥ t<j¨ yd m<;=re ñ,oS .; yels kï tu`.skao wmg jeä fmdaIKhla ,nd.; yel¡ lD;S%u fmdfydr ksid m<;=rej, wvx.= úgñka iS úkdY jk nj fidhdf.k we;¡ wdydr j¾. .nvdlr ;nd

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Nutrition fmdaIK .=Kh /flk f,i wdydr f;dard.kak ta wdydr ksjerosj fuf,i ms<sfh, lr.kak

t<j¨ yd m<;=re .nvd lsÍfïoS YS;lrKhla Ndú;d lrkak t<j¨ yd m<;=re .nvd lsÍfïoS tajd isis,a ia:dkhl tkï YS;lrKhl .nvdlr ;nd.ekSu jeo.;a h¡ tu`.ska tu t<j¨ m<;=re ;=<u .nvd ù we;s tkaihsu u`.ska úgñka j¾. úkdY ù hdu je<fla¡ tfiau tajd Ndckj, wiqrd jd;hg yd f;;ukhg ksrdjrKh fkdjk f,i .nvd lsÍu b;d jeo.;ah¡

lsß yd lsß wdY%s; ksYamdok .nvd lsÍu lsß yd lsß wdY%s; ksYamdok .nvd lsÍfïoS tajd ;oska jid ysre t<shg ksrdjrKh fkdjk f,i .nvd lsÍu u`.ska rhsfndamaf,aúka jeks î LdKavfha úgñka úkdY ù hdu j<lajd .; yel¡

.ekSfïoS o ie<ls,su;a úh hq;= lreKq .Kkdjla mj;S¡

ieuúgu w¨;a t<j¨" m<;=re" uia" ud¨ ñ,oS .ekSug j.n,d .; hq;= w;r t<j¨" m<;=re ñ,oS .ekSfïoS iEuúgu —,má˜ m%fNao ñ,oS .; hq;=h¡

fï wdldrhg Tn wdydr ms<sfh, lsÍfïoS ñ,oS .ekSfïoS yd .nvd lsÍfïoS tys fmdaIl fldgia úkdY ù hd yels wdldrh ie<ls,a,g .kafka kï wmg oskm;d fmdaIHodhS wdydr fõ,la ,nd.; yels jkq we;¡ úfYaIfhkau fuf,i ms<sfh, lrk ,o wdydr j,g wmf.a <ud mrmqr yqre lrkafka kï wmg ksfrda.S wkd.; mrmqrla Wreu jkq we;¡

;s,xld l=udß rK;=x. lÓldpdßKS fmdaIK úoHd fomd¾;fïka;=j Y%S ,xld jhU úYaj úoH,h udl÷r" f.dakú,

yDo frda. úuiqu ixlS¾K yoj;a frda.Ska iqjm;a lsÍfuys,d kj wfmalaIdjka tl;= lrk kjH yD;a ffjoH ;dlaIKh

New Trends In Cardiology

ixlS¾K yoj;a frda.Ska iqjm;a lsÍfuys,d kj wfmalaIdjka tl;= lrk

kjH yD;a ffjoH ;dlaIKh -m<uqjk fldgiDr. Pandula Athaudaarachchi, MBBS MRCP(UK) PhD (Cantab) FESC

yDo frda.Skao" idudkH mdGl ck;djo yD;a Yd,l ;ka;%fha ish,a, .eUqßka wjfndaO lr.; hq;= fkdjk uq;a yD;a Y,Hfõofha kj Ndú;djka ms<sn|j fñ oelafjk f;dr;=re kï Tng ksielfhkau f.dapr jkaklauh' yDo frda.Skag m%;sldr lsÍfuys,d kj oshqKq m%;sldr l%u wkjr;fhka y÷kajd fokq ,nk w;r tys m%;sM<hla jäYfhka f,dalh mqrdu yDo frda.Ska iqjm;a lrùfuys úYd, mqkreohla we;s ù ;sfí'

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yDo frda. úuiqu ixlS¾K yoj;a frda.Ska iqjm;a lsÍfuys,d kj wfmalaIdjka tl;= lrk kjH yD;a ffjoH ;dlaIKh

lsÍgl yoj;a frda. yd lmdg wdY%s; frda. Y%S ,xldfõo úYd, frda.Ska ixLHdjla ñheoSug fya;= jk ldrKhls' fï ksidu fï flafIA;%h ;=< kjH osYdK;Ska ms<sn|j ie<ls<su;a ùu wfma frda.Ska fírd .ekSfï u`.lao jkq we;' fld<U v¾vkaia frdayf,a yDo uOHia:dkh (Heart Centre) fulS kjH ;dlaIKhka Wmfhda.S lrf.k wfma rfÜ yDo frda.Skag úYsIAG fiajdjla i,ik m%uqL yDo ffjoH wdh;khls' óg mQ¾jfhaoS ;rula ÿIalr hhs y÷kd.;a tfy;a wo ojfia yDo frda. ffjoHjreka úiska myiqfjka yiqrejd,k kjH ;dlaIKhka lsysmhla fuys,d úia;r flf¾'

oreKQ jYfhka le,aishï ne÷KQ lsÍgl Ouksh Rotational Atherectomy l%uhg ms<silr lrk Rotablation ie;alu we;eï úg yDohg reêrh imhk lsÍgl Ouksh" isyska ù wjysr ùu yereKQ úg th wNHka;rfha úYd, jYfhka le,aishï ;ekam;a ùuo isÿ ù ;sfí' túg ne¨ka wekacsfhdma,diaá yd iafgkaáka hk iïm%odhsl l%u j,g fuu fodaI ilia lsÍu ;rula wmyiqh' l¾udka; ;dlaIKfhaoS oDV øjH yiqrejd,Sug jHjydr jk ;dlaIKh isysm;a lrjñka oshuka;s mjqv¾ wdf,am lrk ,o wê fõ.S úÿï hka;%hla u.ska fï kd,.; le,aishï bj;a lsÍfï l%uhla Rotablator kñka y÷kajhs' (A,B yd C rEmigyka n,kak) D

02 jk l,dmh

F H

fuu kj ;dlaIKh oeka wfma rfÜo Ndú;d fõ' tjka wjysrl øjH wkaùlaISh fldgia j,g l=vq lr bj;a lsÍfuka miqj ^D rEmh n,kak'& Stent ^fkdfyd;a oe,& iSrefjka ia:dms; lr wfmalaIs; m%udKhg th m%idrKh l< yels fõ' fuu m%;sldrh fjfiiskau ta ms<sn|j mqyqKqjla yd mßphla we;s úfYAI{hka fj;skau isÿ lr.; hq;a;la jk njo fuysoS lsj hq;=uh' Laser assisted angioplasty ;dlaIKh y÷kd.ksuq le,aishï ;ekam;a jQ lsÍgl Oukshl yosisfha we;s jk yDohdndOhla jeks ;;a;ajhloS fuu f,ai¾ iydh lr.kakd wekacsfhdma,diaá ;dlaIKh id¾:lj fhdod.; yels fõ' fuysoS kd,h wNHka;rfha we;s wjysrl bj;a lr tajd jdIaamslD; lsÍug fukau le,aisNjkh jQ øjH bj;a lsÍugo f,ai¾ Yla;sh Wmfhda.S lr .efka' ta Tiafia wjysrl ia:dkh Stent tl oeïug iqÿiq ks¾ndOl ia:dkhla njg m;a lr.; yel'

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yDo frda. úuiqu ixlS¾K yoj;a frda.Ska iqjm;a lsÍfuys,d kj wfmalaIdjka tl;= lrk kjH yD;a ffjoH ;dlaIKh

yDo lmdg ie;alïfõofha ikaêia:dkhla TAVI/TAVR fkdfyd;a Transcatheter Aortic Valve implantation/ Replacement újD; yoj;a ie;alula isÿ lsÍu wjodkula fjk frda.Ska i|yd mgq jQ uyd Ouksl lmdg we;s úg ir< ie;alulska lmdghla tu ia:dkfhys ia:dms; lsÍu ienúkau úYd, ch.%yKhls' (trans catheter aortic valve replacement)

,nd.; yel' fkdtafia kï" ndyqfjka .kakd kyrhla mmq fmfofia fhdok lemqula Tiafiao ia:dms; l< yelsh' ^G rEmh n,kak& neÆkhg iïnkaO lrk ,o lD;%suj ieliQ (Prosthetic) uyd Ouksl lmdgo md,s; ;;a;aj hgf;a ^H rEmh n,kak& ia:dms; l< yel' fuysoS Angiography, transoesophageal echocardiography, CT wdoS Wiia m%;sìïn ;dlaIKhka fhdodf.k ta Tiafia ie;alu isÿ l< hq;= jkafkah' ^I yd J rEm n,kak& fuu l%uh wdrlaIdldÍ yd id¾:l tlla nj idhksl jYfhka hqfrdamfha fukau tlai;a ckmofhao ;yjqre lr ;sfí' oekg WmlrK úhou fya;=fjka hï by< uqo,la jeh jQj;a jirl muK ld,hloS fuu jeh jk uqo, ie<lsh hq;= muKlska wvq jkq we;ehs wfmalaId flf¾'

-,nk l,dmhgfï i|yd iqÿiq reêrjdyskshla bls,sh fmfoiska t;rï ysßyerhla fkdue;sju

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Relationship cSú;h jf.au cSú;hg wd,h;a jeo.;a wUQ ieñhka w;f¾ rka ri fia ne|Sula we;s lr.kak

cSú;h jf.au cSú;hg wd,h;a jeo.;a wUQ ieñhka w;f¾ rka ri fia ne|Sula we;s lr.kak fï ,smsh ;=< Bg ufydamldÍ jk ryia /ilau ;sfnkjd Wmfoia ufkda úoHd WmfoaYl iqrx. wurfldaka

ke; f,dfõ wka ri÷kd''' wdof¾ fia iqj fokd''' wdorh - ñksiqkaf. uQ,sl wjYH;dj,ska tlla' fudk iem iïm;a ;snqK;a wdorh ke;akï tA lsisu foalska M,la kE lshk woyi fmr wmr foÈ.u Þ¾Ykslhka úiska m< lr ;sfnkjd' ksoiqkla f,i tAn%yï udiaf,da kue;s Þ¾Ykslhd úiska bÈßm;a lrk ,o wjYH;d kHdhg we;=<;a jk wx. mfyka tlla jkafka;a wdorhhs'

´kEu flfkl=g wdorh mgka .;a;= uq,a ld,fha is;g ±kqKq wuq;= ñysr myqfjk úg ±fkkafk kE' ta uq,a ld,fhaoS is;g oeKqkq fjkia ye`.Sug fud<h yqre ùu ksihs'

02 jk l,dmh

;ukag wdorh wjYHhs lshk tl fï f,dafl bkak yefudau ms<s.kakjd' kuq;a újdy jQ miq wm uq,ska n,dfmdfrd;a;= jQ wdorh tA wdldrhgu fkd,efnk wjia:d nyq,hs' tAlg fya;=j Ôj úoHd{hka fukak fï úÈfy wdldrhg wre;a .kajkjd' wdorjka;hk w;f¾ yqjudre jk wuq;= ye`.Sula''' uq,skau ia;S% mqreI fofofkla ;=< wdorh we;s jkafk ridhksl m%;sls%hdjla ksihs' wfma ysf;a ;j;a flfkl= iïnkaOfhka tjeks úfYaI we,aula we;s ùfï§ isÿjkafka fud<fha we;s jk ridhksl m%;sls%hdjla u.ska Bg wÞ< yeÕSï W;af;ackh ùuhs' tfia ldka;djlg kï msßñhl= ms<sn|j;a" msßñfhl=g kï ldka;djl ms<sn|j;a we;s jk tA yeÕSï ksid wms wdorh lrkak mgka .kakjd' tA yeÕSu wmg wij,a úÈfya fohla lsh,d úia;r lrkak wmyiqhs' tA ksid ;uhs fndfyda úg fmïj;=ka fmïj;shka zwehs ug Thd wdof¾ lf<a @Z lsh,d Tjqfkdjqkaf.ka wyk úg yßhg ms<s;=rla fokak wiu;a jkafka' tA m%Yafkg fndfyda fofkla fokq ,nk fmdÿ ms<s;=r jkafka zug tAl yßhgu lshkak f;afrkafk kEZ hkakhs' tal we;a;hs' tjka m%ldY l< fkdyels ye`.Sula we;s fjkak mq¿jks'

wm wdorhla mj;ajd f.k hkafk wm ;=< yeÕSï we;s l< mqoa.,hdg iy tu yeÕSï we;s l< wdldrhg wm ;=< we,aula we;s ùu u;hs' l,a hdfï§ úfYaIfhka újdyfhka miq fud<fha we;s jk tu ridhksl m%;sls%hdjkg wfma uki yqre fjkjd' túg uq,ska we;s jQ wdldrfha W;af;ack fud<h ;=< we;s jkafk kE' tA ksid ;uhs ´kEu flfkl=g wdorh mgka .;a;=

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Relationship cSú;h jf.au cSú;hg wd,h;a jeo.;a wUQ ieñhka w;f¾ rka ri fia ne|Sula we;s lr.kak

uq,a ld,fha is;g ±kqKq wuq;= ñysr myqfjk úg ±fkkafk ke;af;' Bg miafia tAl idudkH ;;a;ajhla njg m;afjkjd' wdorh msßkeófuka wdorh ,efnkjd fldfydu jqK;a wm ;j flfkl==g wdorh lsÍu ;=<;a we;af;a wd;aud¾:ldó yeÕSula' tA lshkafk wms yeu úgu wdorh lrk mqoa.,hd fj;ska n,dfmdfrd;a;= fjkafk wfma i;=ghs' wm újdy fjkafk;a iyldßh fyda iylre i;=gq lrkaku fkdfjhs'

wUq ieñhka yeu úgu ldhsl iam¾Yfhka n,dfmdfrd;a;= jkafk ,sx.sl W;af;ackhlau fkdfjhs' tn÷ iam¾Yhla ´kEu mqoa.,hl=g yß jákjd' úfYaIfhka udkisl wd;;sh wvq lrkak fï iam¾Yh b;du jeo.;a'

uQ,l s ju wfma i;=g fjkqfjka' fïlhs" ukqIH iajNdjh' yeu l;d nylskau;a" yeu yeisÍulskau;a wm ks;ru Wkkaÿ fjkafk wfkla mqoa.,hdf. wdorh wmg ,efnkjo lshk tl .ek fidhd n,kakhs' fï úÈyg wdorh

wdorh n,dfmdfrd;a;= ùu iy fiùu ksrka;rfhka wUq ieñhka tlsfkld ;=< meje;Su u; újdy Ôú;hla /flkjd'

n,dfmdfrd;a;= ùu iy fiùu ksrka;rfhka wUq ieñhka tlsfkld ;=< meje;Su u; újdy Ôú;hla /flkjd' flfia jqj;a wdorh lshk fohska mqoa.,hka i;=gq fjk wdldrh tla tla mqoa.,hdg wkqj fjkia fjkjd' msßñkaf.a tl úÈyla' tA jf.au msßñka tlsfkld w;fr;a fuys fjkila mj;skjd' ldka;djka w;f¾;a tfyuhs' újdy Ôú;h b;d i;=áka id¾:lj f.ù hkakg kï fofokd wdorh l< hq;af;a fofokdf.au ys;aj,g wdorh ±fkk wdldrhghs' tf,i wdorh lrkakg kï by;ska i|yka l< mßÈ wdorfhka tlsfkld i;=gq jk wdldrh ms<sn| jegySula we;s lr .kak ´fka' w.h lsÍu ;ukaj ;j flfkla w.h lrkjd olskakg fï f,dafla wlue;s

02 jk l,dmh

újdy Ôú;h b;d i;=áka id¾:lj f.ù hkakg kï fofokd wdorh l< hq;af;a fofokdf.au ys;aj,g wdorh ±fkk wdldrhghs'

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Relationship cSú;h jf.au cSú;hg wd,h;a jeo.;a wUQ ieñhka w;f¾ rka ri fia ne|Sula we;s lr.kak

ukqIHfhla kE' kuq;a iuyre tA idudkH ;;a;ajh blaujd wksla wh ;ukaj w.h lrkjd olskak leue;shs' ldka;djla kï ;udf.a ieñhd ;udj fï úÈyg ks;r ks;r w.h lsÍu n,dfmdfrd;a;= jk w;r" msßñhl= kï ;ukaf.a ìß|f.ka th n,dfmdfrd;a;= fjkjd' tf,i w.h lsÍu ±äj n,dfmdfrd;a;= jk ldka;djla ;ukaf.a ieñhd fj;ska th bgq fkdjk úg is;kafka Tyq ;udg wdof¾ kE lsh,hs' tA wkqj tA ldka;djg ieñhdf.a wdorh ±fkkafk ieñhd ;udj w.h lsÍu ;=<hs' w.h lsÍu jf.au úfõpkh fkdlsÍu;a b;d jeo.;a fohla' w.h lrkq ±lSug leue;s flfklaj úfõpkh lsÍu hkq tA ;eke;a;dg $ ;eke;a;shg udkislj lrkq ,nk oreKq myrla' tA ksid ±ä udkisl lvd jeàulg ,la fjk w;r iuyre ;Èka fldam fjkjd' w.h lsÍu ±äj n,dfmdfrd;a;= jk flfkl=g wdorh ±fkkafk tfia w.h lsÍfukqhs' tA mqoa.,hdj úfõpkh lsÍu fkdl< hq;=hs' tfia lrkakg isÿjk wjia:djl m%fõiñka lsÍug j. n,d .ekSu jeo.;a' ;uka iu. tlg ld,h .; lsÍu mqxÑ fj,djla yß ;ukaf.a ieñhd ;ud <Õ isàu fndfyda Nd¾hdjkag uyfurla ;rug jákjd' iuyr msßñkag;a tfyuhs' fuys§ <Õ b£u hkqfjka woyia lrkafka fofokd id,fha mqgq foll jdäù ìß| tl

jevl;a" ieñhd ;j jevl;a fh§u fkdfjhs' fofokd Tjqfkdjqka flfryS wjOdkfhka miqùuhs' fï wdldrhg ieñhd ;ud <Õ ojfia iq¿ fj,djla yß ys£u ±äj wfmaCId lrk ìß|lg ieñhdf.a wdorh ±fkkafka tfia <Õ ys£fukqh's Woõ Wmldr lsÍu wfma ixialD;shg wkqj ieñhdg iy ìß|g fjka jQ jev fldgia mj;skjd' fufia ;snK q ;a ìß| lrk jevj,g ieñhd Woõ lsÍu;a" ieñhd lrk jevj,g ìß| Woõ §u;a ksid fofokd úYd, i;=gla ,nkjd' fjk fudl=;a ke;;a ;uka jev lrk fj,djg ieñhd tA lsÜgqfjka ys¢ñka l;d lr lr bkakjd kï yqÕla Nd¾hdjka leue;sh's zthd ug wdofrhsZ lsh, ìß|g ±fkkafka túghs' Woõ Wmldr lsÍu lsh,d fndfyda Nd¾hdjka wfmaCId lrkafka uyd f,dl= foaj,a fkfõ' iSks fnda;f,a uQäh ;o fj,d kï zwfka fïl wer, fokakfldZ lsh,d ieñhdg lshkak ìß| leue;sh's weh thska Tyqf.a wjOdkh;a wfmaCId lrkjd' tjeks wjia:djl§ zThdg ´lj;a lr .kak neßo @ tAl;a ugu lshkafkZ lsh,d ieñhd lsõfjd;a ìß|f. ys; ±äj ßfokak mq¿jka' tA fjkqjg zflda fokakZ lsh,d uQäh wer,d fok tflka ìß|la úYd, udkisl ;Dma;h s la ,nk nj ieñhka isys ;nd .; hq;h = 's wkak tA jf.a mqxÑ foaj¨;a Woõ Wmldr lsÍulau ;uhs' tjeks foaj,a ksid ieñhd ;ju;a ;udg wdof¾ lrk nj ìß| ;yjqre lr .kakjd'

02 jk l,dmh

ldka;dj ;E.s fnda.j,g f.dvla ms%h lrkj kï weh leue;s mqxÑ fohla fyda wrf.k ÿkafkd;a Tn tA ÿkakq foa w.h lrñka Tn wdorh y÷kk ieñhl= f,i weh f.dvla i;=gg m;a fõú'

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Relationship cSú;h jf.au cSú;hg wd,h;a jeo.;a wUQ ieñhka w;f¾ rka ri fia ne|Sula we;s lr.kak

;E.s fnda. /f.k §u fï ;;a;ajhg jvd;a leue;s ldka;djkqhs' kuq;a tjeks foaj,a ms%h lrk msßñkq;a fndfyda úg isákjd' fuys§ ldka;djla ;E.s jYfhka n,dfmdfrd;a;= jkafk ñ, wêl iy m%udKfhka úYd, tAjdu fkdfjhs' ñ, wvq mqxÑ mqxÑ foaj,aj,g ldka;djka leue;shs kuq;a msßñka ;E.a.la f,i i<lkafk uQ,Huh jákdlñka jeä tAjdhs' tA wkqj ;ukaf.a ìß|g ;E.a.la úÈyg idßhla wrka fokj kï ñ, wêl tlla .ek ;uhs Tjqka ys;kafk' tA uqo, orkak ;ukag yelshdjla ke;akï fudl=;au ;E.a.la ke;sj ysia w;ska tkak;a msßñka fm<ôh yelshs' fuys§ ldka;dj ys;kafk Tyq ;udg wdof¾ kE lsh,hs' msßñhd ys;kafk wdof¾ ;snqKg jákd fohla .kak i,a,s ke;akï ,dN fohla f.kshkafk fldfyduo" lsh,hs' kuq;a ldka;dj ;E.s fnda.j,g f.dvla ms%h lrkj kï weh leue;s mqxÑ fohla fyda wrf.k ÿkafkd;a Tn tA ÿkakq foa w.h lrñka Tn wdorh y÷kk ieñhl= f,i weh f.dvla i;=gg m;a fõú' ldhsl iam¾Yh fuys§ iam¾Yh fldgia follg fnokak mq¿jka' tA ,sx.sl iam¾Yh yd ,sx.sl fkdjk ldhsl iam¾Yh jYfhka' fuys§ wm l;d lrkafka ,sx.sl fkdjk ldhsl iam¾Yh .ekhs' wUq ieñhka yeu úgu ldhsl iam¾Yfhka n,dfmdfrd;a;= jkafk

,sx.sl W;af;ackhlau fkdfjhs' tn÷ iam¾Yhla ´kEu mqoa.,hl=g yß jákjd' úfYaIfhka udkisl wd;;sh wvq lrkak fï iam¾Yh b;du jeo.;a' ysi msßue§u" w;ska w,a,d .ekSu fuf,i wd;;sh my l< yels b;du myiq l%uhs' úfYaIfhka ldka;djka ;udf.a ieñhd ;u w;ska w,a,d .ekSu" k<, ism .ekSu" ysi w; .Eu jf.a foaj,a ;Èkau ms%h lrk w;r msßñka kï iïndykh lsÍu" oE; fomd msßue§u jf.a foaj,aj,g b;du leue;shs' fldamfhka fyda f,dl= ÿllska isák flfkl=f.a w;ska w,a, .kak mq¿jka kï tA ;eke;a;df.a tA wdfõ.h wvq l< yelshs' fya;=j tA iam¾Yh ;=<ska Tyq $ weh ;=< úYd, iykYS,S yeÕSula we;s ùuhs' fïl ldka;djkag;a fmdÿ ;;a;ajhla' tA wkqj ldhsl iam¾Yh leue;s ldka;djlg fyda msßñfhl=g ;udf.a YÍrh iam¾Y jk fia ;u iylre fyda iyldßh ;ud iómfha jdä ù isàu;a wdorh ±fkk l%uhla nj lsj hq;=hs' fï úÈyg ±fkkak wdorh lrkak fndfyda fofkl=g wmyiqhs' fya;=j tAlg wm yqre ù fkd;sîuhs' kuq;a fïl wudre foal=;a fkfuhs' ±fkkak wdorh lrkak mq¿jka kï újdyh Yla;su;a lrk iúu;a neïula f,i th mj;shs'

Advertorial bmerKs YdL jÜfgdare iu.ska ldka;su;a meyem;a isrerlg''' iulg''' iefkdaod y¾n,a ksIamdok

bmerKs YdL jÜfgdare iu.ska ldka;su;a meyem;a isrerlg''' iulg''' iefkdaod y¾n,a ksIamdok pkaokdoS T!Iëh iqj`o inka kSfrda.S iqkaor rE imqjla ,nd .; yels Ydl idr .=K imsß iefkdaod T!Iëh rEmd,djKH ksIamdok /ila oeka Y%S ,xldfõ jd¾;d.; wf,úhla fmkajñka ;sfí'

ffjoHjrhd

Advertorial bmerKs YdL jÜfgdare iu.ska ldka;su;a meyem;a isrerlg''' iulg''' iefkdaod y¾n,a ksIamdok

ieuf.a iug .=K fok mßos pkaokdoS T!Iëh iqj`o inka ksIamdokh lr we;'

pkaokdoS T!Iëh iqjò inka rkajka oSma;su;a iulg wk.s inka úfYAIhls' ore m%iQ;sfhka miq uõjrekaf.a Worfha we;sjk bß ;e,Sï j,g fuhska jyd iqjh ,nd foa' fldaudßld" foys" fk,a,s" ;=,ais"lSlsßòsh" fldl=ï" lia;=ß ly" iqÿ y`ÿka" je,auog" l<dÿre w," jo ly" iqjò fldÜgka" fjksje,a we;=¿ T!IO 60 lg wêl iïñY%Khlska l=re`ÿ f;,a" i`ÿka f;,a" msKav f;,a wvx.= lr ia;%S mqreI f,dl= l=vd

Ndú;hg Wmfoia uqyqK" we`. fiaoSug Ndú;d l< yel' pkaokdoS T!Iëh iqjò inka j,ska kshu .=K ,nd .ekSug kï WoEik yd rd;%SfhaoS uqyqK fidaok iEu úg uqyqK fydòska f;ukak' miqj inka legfhkau uqyqfKa fydòska w;=,a,d .ekSfuka wk;=rej oE; f;ud fydòska uqyqfKa yd f., jg inka .d.kak' úkdä oyhlska miq fidaod yßkak' m%Óm, uqyqK yd we`. fidaok iEu úg pkaokdoS iqjò inka Ndú;d lsÍfuka inka j, we;s Tiq .=K u`.ska ifï kSfrda.S;dj yd iqrEmS nj jeãug

02 jk l,dmh

WmldÍ fjhs' inka .Efuka wk;=rej ieKska T!IO iug ld jeoSfuka miq ishqï oeú,a,la fuka oefka' tfia oefkkafka n%yclms; WoaoSmkh ù l=re,E le<e,a yd frdau l+m wdosfha we;s wmøjH T!IOh u`.ska ;oska Wrd .kakd neúks' oskm;d Ndú;d lsÍfuka l=re<E" w`:yï" ,m le<e,a" oo" l=IaG" iu r;a l¿ùu" iu msmsÍu" weiajg l¨ ùu" oyäh ìì,s" oyäh ÿ.ò" leiSï j<ld,hs' ore m%iQ;sfhka miq uõjrekaf.a Worfha we;s jk bß ;e,Sï jyd iqj lrhs' ifï ishü wdidok yg .ekSu j<lhs' ifï f;;ukh /l oS rkajka oSma;su;a meyehla f.k fohs' osfkka osk rEimqj j¾Kj;a lrkjd fiau oji mqrd Tn m%fndaOu;aj ;nd fk;a is;a ji`. lrjk uk nòskd iqkaor rEimqjla Tng ,nd oSug pkaokdoS T!Iëh iqjò inka ieu úgu WmldÍ fjhs' inka legh nyd¨fuka újD; lsÍfuka wk;=rej inka fmÜáhla ;=< ;nkak' mdúÉÑ lsÍfuka wk;=rej inka legh fidaod ;eîfuka j<lskak' ksfrda.S fjkakhs ,iaik fjkakhs iefkdaod me;=u fy< rc oji" iqrEmS ,,kdjkaf.a rE imqj Tmj;a lr .;af;a foaYSh Ydl idr Wmfhda.S lr .ksñkah'

tu T!Iëh .=Kfhka ,,kdjkaf.a rE imqj ldka;su;a úh' ÿgqjka jYS lrùh' rcqka mjd ,`ÿka bosßfha jYS ù oK keóh' tjka bmerKs b;sydihlg ysñlï mjik wm j¾;udkfha fkdrgqka ilid tjk ksIamdok Ndú;d lr ;u rE imqj fkdoeKqj;aju mq¿iaid .kS' wo ojfia f,dalhgu kshu Ydlidr wvx.= rEmd,djkH ksIamdok wm rfÜoS kùk ;dCIKh Ndú;d lr ksmojd f,dalfha wxl tfla Ydl idr f,i m%p,s; ù we;s ksIamdok kduhls zziefkdaodZZ' iefkdaod ksIamdok kduh fuf,i m%p,s; ùug WmldÍ ù we;af;a jdKsc wruqK fmr oeß fkdlrf.k msßisÿ kshu foaYSh T!IO muKla Ndú;d lr bmerKs ryia jÜfgdare l%uhkag iefkdaod ryia leá lr .ksñka ksIamdokhka ìys lsÍu ksidh' ieu úgu mdßfNda.slhskag Wiiau ;;a;ajfha ksIamdok fm<la iefkdaod y¾n,a m%vlaÜ iud.u y`ÿkajd oS we;' fuu ksIamdok Ndú;d lsÍfuka Wiiau m%Óm, ,nd .; yels nj m¾fhaIK j,ska ;yjqre älr we;' iefkdaod ksIamdok osjhsk mqrd T!IO wf,úie,a j,ska ñ,oS .; yel' iefkdaod ksIamdok f.jk ñ,g kshu m%Óm, mdßfNda.slhdg ,nd foa' iefkdaod y¾n,a m%vlaÜia 1631$3$11 ud<fò mdr" fldÜgdj" mkaksmsáh' ÿrl;k 0727915915 $0727915917 www.sanodaherbal.com

ffjoHjrhd

Innovation fï OrKs ;,fha frdfnda wdOdrfhka Y,Hl¾u isÿ lrkakg isysk ujk ms<sld Y,H ffjoHjrhd'''

ffjoH wkqreoaO f;jrmafmreu fï OrKs ;,fha frdfnda wdOdrfhka Y,Hl¾u isÿ lrkakg isysk ujk ms<sld Y,H ffjoHjrhd'''

ms<sld Y,Hfõoh (Onco Surgery) ms<sn|j;a fjfiiskau Tn ms<sld frda.Ska úIfhys isÿ lrk ,o we;eï iqúfYAIS Y,Hl¾u ms<sn|j;a miq.shod udOH j, l;dnyg ,lajqKd' wmg lshkak mq¿jkao fudllao fï ms<sld Y,Hfõoh (Onco Surgery) lshkafk @ Y,Hfõoh lshkafk ie;alï isÿ lsÍu wdY%s; úÿyqre Ys,amSh úoHdj lshk ldrKh ljqre;a okakjdfka' uq,a ld,fha fï úIh m:fha úfYAIlrKhla fj,d ;snqfK kE' ie;alï ish,a,u isÿ lf<A Y,H ffjoHjrhd (Surgeon) úiskauhs' fudf<A jqK;a" wefya jqK;a" nfâ jqK;a th Y,H ffjoHjrhdf.a ld¾hh jqKd' kuq;a ffjoH úoHdfõ fï yeu flafIA;%hlau oshqKQ fjk úg tl tlla wxY flfryS;a úfYAIs; oshqKQjla we;s fjkak .;a;' ta oshqKQj;a iu.ska tla tla wxY fjk fjku úYd, jYfhka wOHhkhg ,la jqKd' Y,H ;ka;%fha;a fï fjki we;s jqfKA Bg miafi' iakdhql ie;alï Neuro Surgeon fj;ska isÿ flreKd' l=vd orejkaf.a ie;alï Paediatric Surgeon fj;ska isÿ flreKd' úl,dx. ie;alï Orthopedic Surgeon fj;ska isÿ flreKd' fï úosygu ms<sld frda.Ska fjkqfjkq;a úi,a Y,Huh oeKQula f.dKq jqKd' m%dfhda.sl jYfhka ms<sld frda.Skaf.a Ndr¥r Y,Hl¾u isÿ lsÍfï j.lSu Onco Surgeon fj; mejrefKA ta f,ighs'

02 jk l,dmh

t;fldg fï Onco Surgeon fj; mejÍ ;sfnk úfYAIs; ld¾h Ndrh l=ulao@ ms<sld lshk frda.h;a tlalhs wfma Ndú;dj uQ,sl jYfhka úldYh jkafk' ms<sld - YÍrfha ´kEu ;efkl we;s fjkak mq¿jks' ta jf.auhs ms<sldj YÍrfha fjk;a fndfyda wjhj j,g me;sr hkak;a mq¿jkafka' uQ,sl jYfhka fojeoEreïj ms<sld j¾.Slrkh flfrkjd' zz>k iajrEmhla orK ms<sldZZ iy zzf,a ms<sldZZ jYfhka' wr" wjfYAI bkaøsh j,g me;sr hk iajNdjh ksid ms<sld Y,Hl¾u fnfyúka ixlS¾K iajrEmhla .kakjd' fï jefâ úfYAIlrKh jqK Y,HfõoSka lKAvdhulg m;a jqKdu Tjqka ks;ekskau ta i|yd úfYAI mßphla ,nkjd' ta ksid jvd;a id¾:lj fï ie;alu isÿ lsÍfuka frda.shdf.a cSú;h .,jd .ekSug jeä wjia:djla ,efnkjd' ms<sldjla ;sfnk fldg tal;a tlal .kqfokqj fndfydu mßiaifuka lrkak ´ks' ie;alu ksjeros mshjr Tfiafia ishqïj isÿ lrkak ´ks' Protocol tl jerÿK;a uy jrola fjkak bv ;sfnkjd' wms ys;uq biafi,a, lSfudf;rms fokak ;sfhoaos Y,Hl¾uh isÿ l<d lsh,''' túg m%;sM<h fjkia fjkjd' yß ;SrKh .ekSuhs fuysoS jeo.;a fjkafka' fud<h yd fld÷weg fm< yer YÍrfha wka ´kEu ia:dkhl ms<sld

uu General Surgery hk flafIA;%h hgf;a jir y;rl mYapd;a wOHdmkh ,eîfuka miqj fï wxYh flfryS fhduq jqKd' ta wkQjhs uu uyr.u ms<sldhlkfha jeäÿr mqyqKQùu j, fhÿfka fï ld,fha ug cmdk cd;sl ms<sldh;kfha udi y;rl mqyqKqjla i|yd JICA YsIH;ajhla ysñ jqKd' fïl flá ld,hla jqK;a th uf.a cSú;fha yerjqï ,laIHhla jqKd'

Y,Hl¾u isÿ lsÍu Onco Surgeon úiska isÿ lrKQ ,nkjd' Onco Surgeon flfkl= njg m;a ùug fmr ,nk mqyqKqj fln÷ tllao @ Y,Hfõoh mYapd;a Wmdêhla yeoEÍu uQ,sl jYfhka isÿ l< hq;=hs' bka miqj jir folla uyr.u ms<sldh;kfha wOHhk lghq;= j, fhosh hq;=hs' bka wk;=rej jir 1-2 w;r ld,hla úfoaYSh iqÿiqlïo imqrd,Sfuka miqjhs Onco Surgeon flfkla fiajhg tlaa jkafka' wfma rfÜ oekg Onco Surgeonjreka lS fofkla bkakjdo@ oekg Tlafldu bkafk oyhla ú;r' thskq;a rdcH fiajfha''' tkï rcfha frday,a j, fiajh lrkafka 6 fofkla muKhs'

ffjoHjrhd

Innovation fï OrKs ;,fha frdfnda wdOdrfhka Y,Hl¾u isÿ lrkakg isysk ujk ms<sld Y,H ffjoHjrhd'''

Tn fldfyduo fï jD;a;Shg msúiqfka''' @ uu General Surgery hk flafIA;%h hgf;a jir y;rl mYapd;a wOHdmkh ,eîfuka miqj fï wxYh flfryS fhduq jqKd' ta wkQjhs uu uyr.u ms<sldhlkfha jeäÿr mqyqKQùu j, fhÿfka fï ld,fha ug cmdk cd;sl ms<sldh;kfha udi y;rl mqyqKqjla i|yd JICA YsIH;ajhla ysñ jqKd' fïl flá ld,hla jqK;a th uf.a cSú;fha yerjqï ,laIHhla jqKd' ta fldfyduo @ cmdkh wdishdfõ ;sfnk oshqKQu rg ú;rla fkdfjhs" tys ;dlaIKh fofjks jkafka wefußldjg muKhs' ;dlaIKh w;ska ì%;dkH mjd bkafk cmdkhg fndfydau miafika' tfyu n,kfldg cmdkh wdishdfj wmg fyd| wdvïnrhla ú;rla fkdfjhs" wk.s ud¾f.damfoaYlfhla' ffjoH ;dlaIKh w;ska .;a;;a cmdkfha úYd, oshqKQjla ;sfnkjd' Tjqka w¿;a w;ayod ne,Sï lrkjd' tajd weiqf¾ iajlSh Ndú;djka iqir lr .kakjd' cmdkfha fï mqkreoh .ek úYd, bjla ;sfnk ksid tx.,ka;h" hqfrdamSh rgj,a jf.au wefußldfjkq;a m¾fhaIlhka ks;r weú;a fï w;aoelSï Tjqkq;a ,nd .kakjd' tajd ta ta rgj, ffjoH úoHd;aul oshqKqjg fhdod .kakjd' fï ld,h ;=< ug wjfndaO jqKd''' wfma rg fï w;ska fudk ;rï miq. dóo lshk ldrKh'''úfYAIfhkau wm

iïm%odhsl iSudjka ;=< fldgq fj,d bkak nj;a kj Ndú;djka wkq.; lr .ekSug cd;shla jYfhkau wm ksi`. fhkau olajk m%;sfrdaO;djh .ek;a ug we;s jqfKA wm .eku úYd, wd;audkqlïmdjla''' fï ld,h ;=< cmdkfha fulS ffjoH úoHdfõ oshqKQj .ek;a th wka rgj,g iïfm%aIKh jk wdldrh .ek;a ug úYd, w;aoelSula ,enqKd' ta;a Tng ta flá YsIH;ajh wjidkfha kej; ,xldjg tkak isoaO fjkjd @ Tõ''' ta;a ta jk úg uu ysáfha fï kjH ;dlaIK Ndú;djka wfma rgg;a wkq.; lr.kak neß weh @ lshk m%YAkh ud ;=<skau úuiñka''' wdmyq ,xldjg miafi uu fi!LH wud;HxYfhka b,a,Sula lrkjd" fï iïnkaOfhka ug fok úfoaYSh mqyqKQj cmdkhgu ,nd fokak lsh,''' ta b,a,Su bIaG fjkjd''' @ Tõ''' tafl m%;sM<hla úosyg ug cmdkfha fgdalsfhda w;s úYd, k.rfha iqlsì j, ia:dms; cd;sl ms<sldh;kfha jeäÿr mqyqKQj ,eîug wjia:dj ie,fikjd' fï wjia:dj Wmßufhka N=la;s ú|skakhs ug ´ks lf<A' uu ta ojiaj, w;sYhska ne?reï úosyg wOHhk lghq;= j, ksr; jqKd' i;shla ;=< ;sfnkafka fndfydau ixlS¾K jevigykla' tal bjr jqKdu i;s wka;fha;a >k / ueoshu olajd uu frdayf,a jev lrkjd'

02 jk l,dmh

wkqreoaO f;jrmafmreu jdikdjka; uõmsh fom<lg odj Wmka wkqreoaO Wmka.u r;au,dkhs' fld<U rdclSh úoHd,fha wOHdmkh yodrd fld<U úYAj úoHd,hSh ffjoH úoHd,hg f;areKQ fudyq uq,skau iSudjdisl m;aùu ,nkafka mdkÿr uQ,sl frday,gh' tysoS Y,Hfõoh uQ,sl mÍlaIKfhka idud¾:h ,nd iajlSh wOHdmk lghq;= lrf.k hkq msKsi fld<U cd;sl frday,g we;=<;a fjhs' tys isjq jirl wOHhk ld,h wjik jeäÿr yeoEÍï i|yd uyr.u cd;sl ms<sldh;khg iïnkaO jk w;r bka miqj cdkfha fgdalsfhda kqjr cd;sl ms<sldh;kfha úfoaYSh mqyqKQj id¾:lj ksu lsÍfuka miq nÿ,a, m<d;a uy frdayf,a m%:u ms<sld Y,H úfYAI{ ffjoHjrhd jYfhka fiajhg tla jkafkah' fudyqf.a j¾;udk fiajd ia:dkh r;akmqr m<d;a uy frday,hs' mjqf,a tlu orejd jk fudyqf.a uõmshka oekg rcfha fiajfhka úY%dñlh' ffjoH wkqreoaO újdm;aj isõkafkao ffjoHjßhl iu.h' fï jdikdjka; ffjoHjßh oekg w.kqjr fm!oa.,sl fiajfha ksr; jkakSh' Tn fuysoS úfYAIfhkau yeoErefõ''' @ ms<sld y;rla iïnkaOfhka ug fuysoS .eUqßka yeoEÍfï wjia:dj ,enqKd' uqL ms<sld" mshhqre ms<sld" .=o yd uyd nvje,a ms<sld jf.au .,kd,h wdY%s; ms<sld hk ms<sld ms<sn|j ' uu tu

ffjoH wdh;kfhka b,a,Sula l<d" kj ;dlaIKh fï ms<sld m%;sldr l%shdj,shg fhdod .kakd wdldrh iïnkaOfhka mqyqKQ jevigyka ug úfYAIfhka ,nd fokak lsh,' Tjqka taj fkduiqrej ug ,nd ÿkakd' ta ksid ;uhs" ug i;s wka;fhaos mjd úfõlhla fkdue;sj wOHdmk lghq;= j, ksr; jkak isÿjqfKA' Tn fï wdldrfhka mßmQ¾K mqyqKQjla ,n,d iqÿiqlï iïmQ¾K lrf.k wdfh;a uõrgg tkjd@ Tõ''' ta tkafk 2009 j¾Ifhaos' weú;a ug uq,skau m;aùula ,efnkafk wfma rfÜ ;sfnk ÿIalru m<d;l" nÿ,a,g' nÿ,af, ms<sld jdÜgqjla ta jk úg w¿f;kqhs wdrïN lf<A' uQ,sl myiqlï j;a keyehs lsõfjd;a ksjeroshs' ta;a b;ska ,efnklka ysáfhd;a wirK frda.Ska wudrefõ' ta ksid ;sfnk myiqlï j,ska wms nÿ,af, jev wdrïN l<d'

ffjoHjrhd

Innovation fï OrKs ;,fha frdfnda wdOdrfhka Y,Hl¾u isÿ lrkakg isysk ujk ms<sld Y,H ffjoHjrhd'''

fï úosyg wm fidhd.;a; uqo,a j,ska wm nÿ,a, ms<sld wxYfha uQ,sl lghq;= iïmdokh lr.;a;' ug u;lhs wm ta wdldrfhka ñ,oS .;a; ENSEAL kue;s reêr kd, uqøl WmlrKh jf.a Y,H fuj,ï' fuu reêr uqød ;nkhg ñ'ó' 7 l n,hla ;sfnk reêr iemhqula mjd uq¿ukskau uqød ;eìh yelshs' b;ska fï úosyg yß yïn lr.;a; foaj,a fhdodf.k wms nÿ,af, jev rdYshla bIag isoaO l<d' ta ldf, Tn Wvq.x n,d .ukl fhÿKd''' @ Tõ tfyu lsõfjd;a ksjeroshs' wmg úYd, jYfhka Y,H WmlrK j, wvqjla ;snqKd' fïj iuyrla wms we;eï wdh;k j,ska ,nd .;a;d' r;akmqr uy frdayf,ka ta úosyg WmlrK ,enqKd' isysm;a l< hq;=hs fï wjia:dfj''' tjlg wOHlaIlj isá ffjoH iïm;a bkaosl l=udr uy;d;a nÿ,af, ffjoH wêldÍ O¾um%sh uy;d;a' ta;a ;j wvqmdvq ;snqK''' taj imqrd.kak wms uqo,a /ia lsÍug md .uka .shd''' Ñ;%mg o¾YK fmkakqjd'' ta ldf, nÿ,af, ms<sld frda. úfYAI{ ffjoHjrhdj isá ffjoH YHdu .=K;s,l;a ud;a fï fjkqfjka úYd, jYfhka fjfyiqkd' nÿ,af, ck;dj" úúO wdh;k wmg Yla;shla jqKd''' Tjqka f;areï .;a; Tjqkaf.au frda.Ska yg Wmldr lrkak fï orK W;aidyhg Tjqkq;a iïnkaO úh hq;=hs lsh,'

,emriafldms l%uhg - ta lshkafk YÍrh úYd, jYfhka lmkafk ke;sj ms<sld bj;a lsÍfï ie;alï lsysmhlau isoaO lrkakg Tn mqfrda.dó fj,d ;sfnkjd' wms ta .ek l;d lrkak l,ska fufyu m%Yakhlg Tng ms<s;=re n|skak isoaO fjkjd' wehs Tn ta úosfya ie;alï w¿;a ;df,g lrkak fm<UqfKA' talg fï jf.a úYd, wjodkula .;af;'''@ we;a;gu ms<sld frda.sfhla .;a;u wdrïNfhaos ;snqKQ u;h ;uhs" fudk wdldrfhka yß ms<sldj bj;a lsÍu' ta yefrkak fldhs ;rï YÍrh lmkak fjkjo @ fudk ;rï YÍrh úrEms ùula fjkjo lshk ldrKd .ek ie<ls<su;a fkdjqKdu fkdfjhs" ta;a thg jeä nrla ,enqfK kE''' ta;a wo fï Y,Hl¾u oshqKQ uÜgulg weú;a ;sfnkjd' ms<sld frda.Skaf.a wdhq wfmalaIdj by< uÜgulg meñKSu;a iu.u ta whf. rEmh .ek;a cSj;a ùfïoS wjYH lrk wjfYAI ldrKd .ek;a jeä ie<ls,a,la olajkak wo wmg úoHdj n, lrkjd'

02 jk l,dmh

ud úYajdi lrkjd frda.Skag fyd|u yd wdrlaIs;u jrKh f;dard .ekSug wjia:djla ,eìh hq;= nj' fuys,d úfYAIfhka hula lsj hqq;=hs' iuyr úg uu fjkak we;s wfma rfÜos we;eï Y,Hl¾u uq,skau lrkak we;af;' ta;a fï wdldrfha ,emriafldms ms<sld Y,Hl¾u oshqKQ rgj, iq,nj isoaO flfrkjd' ta ú;rla fkdfjhs" fï l%uhg yqre jqKdu frda.shdg ú;rla fkdfjhs ffjoHjrhdg;a ldßh myiqhs' wm tal w;aoelSfukau f;areï wrf.k ;sfnkjd' wm oeka Tn úiska ,dxflah Yd,l b;sydifha tjka ie;alï isÿ l< m%uqLhd fjñka b;sydihg tlajq Tnf.a l;dnyg ,lajQ ie;alï ms<sn|j l;d lruq' ´kEu flfkl=g ;ukaf. mmqfj f,dl= lemqula fhdokj lshk ldrKh f,fyishg .kak mq¿jka fohla fkdfjhs' talg ljqre;a leue;af;ka tl`. fjkafk kE' fï .ek uu l,amkd lr, ,emriafldms ;dlaIKh ms<sld ie;alï j,g jHjydr lsÍu wdrïN úh hq;=hs lshku;fh ysáh' uf.a furg m%:u W;aidyh jYfhka .,kd,fha ms<sldjla m%:u j;djg ,emriafldms l%uhg nÿ,a, frdayf,aoS isÿ flrejd' th ;uhs .ukl wdrïNh' .=o ud¾.fha;a uydnvje,aj,;a me;sr ;snqKq ms<sldjla ta wdldrfhkau

uf.a isyskhla ;sfnkjd' ta frdfnda ;dlaIKh ie;alï lsÍug wfma rgg;a y÷kajd fokak' tys m%;sM<hla úosyg ;j;a Y,Huh id¾:l;ajhka /ila rgg w;am;a lr.kakg wjYH lghq;= iïmdokh lrkakg' ta wruqK bIaG lr.kakg ,enqfKd;a thhs uf.a oekg ;sfnk isyskh'''

,emriafldms l%uhg bj;a lrkak ug bka miqj yelshdj ,enqK' jhi wjqreÿ 35l muK ldka;djlf.a .¾NdIfha ms<sldjla uu h;=re isÿre Y,Hl¾uhlska (Key Hole Surgery) bj;a l<d' .eíf., ms<sldjla ;snqKQ ldka;djlf.a tu ms<sldj uq;%dYh olajdu me;sr ;snqKd' tho fï wdldrfhkau id¾:lj bj;a l<d' wlaudfõ fldgila me;sr.;a ms<sldjla ksid tho bj;a lsÍfï ie;alula''' tfukau Tyqgu .=o ud¾. fha fldgil=;a bj;a lrkakg isÿ jqKd' fï ie;aluo nÿ,af,aoS id¾:l f,i isÿ lrkakg wjia:dj ie,iqkd' b;du uE; isÿùu ;uhs" uq;%dYhla imqrd bj;a lr t;ekg m%;sks¾udKh lrmq uq;%dYhla ia:dms; lsÍu'

ffjoHjrhd

Innovation fï OrKs ;,fha frdfnda wdOdrfhka Y,Hl¾u isÿ lrkakg isysk ujk ms<sld Y,H ffjoHjrhd'''

nÿ,af,aos iajlSh m<uq m;aùfïoSu fï úosyg úma,jldÍ Y,Hl¾u /ilau wfma ÿmam;a rgg id¾:lj y÷kajd ÿka Tn ta wirK ck;djf.ka oeka wE;a fj,d r;akmqf¾' we;af;kau nÿ,af, ta ck;djf. ka fjkaùu ug;a úYd, úfhdajla' idfmalaIj wvq wdodhï ,nk b;du wúysxil ck fldÜGdYhlg ;uhs uf.a fiajh uq,skau i,ikak jqfKA' ug Tjqkag fiajh lrkakg wjia:djla ,eîu ug cSú;fha ,enqKQ W;alDIAG wjia:djla úosyghs ud i<lkafk' Tn ySk olskafkla lsõfjd;a'''@ Tõ ud ySk olskjd''' ud wy, ;sfhkjd ySk olskak ´ks''' ukao''' taj ;uhs wm osfkl yenE lr.kafk lshk l;dj Tn olsk f,dl=u ySkh wmg mjikak mq¿jkao@ wo f,dalfha b;du ixlS¾K ie;alï isÿ lsÍug frdfnda ;dlaIKh fhdod. kakjd' (Robotic Surgery) frdfnda ;dlaIKh Yd,l ;ka;%h ;j;a ishqïj yiqrejñka l< fkdyels hhs lshk foa yenEjgu id¾:lj bIaG isoaO lr fokjd' fïl fï ngysr rgj,g ú;rla iSud jqK fohla fkdfjhs' wfma wi,ajeis bkaoshdfj;a frdfnda ;dlaIKh Wmfhda.S lr.;a ie;alï isÿ flfrkjd' uf.a isyskhla ;sfnkjd' ta frdfnda ;dlaIKh ie;alï lsÍug wfma rgg;a y÷kajd fokak' tys m%;sM<hla úosyg ;j;a Y,Huh id¾:l;ajhka /ila rgg w;am;a lr.kakg wjYH lghq;= iïmdokh lrkakg' ta wruqK bIaG lr.kakg ,enqfKd;a thhs uf.a oekg ;sfnk isyskh'''

YS;lrKh Tn f,v fkdlrkak kï''' Tn okakjdo @ Tfí ksfjfia YS;lrkh yryd Tng wk;=reodhl frda. /ila we;s ùfï bvlv ;sfnk nj''' uekúka l<uKdlrkh fkdlrk ,o YSS;lrkhla yeu úgu frda. ksmojk *elagßhla jf.hs' .eìKshka" w; orejka jf.au jfhdajDoaO Woúh myiqfjka wdydr u.ska we;sjk frda. j,g ,la úh yels ksid YS;lrKh uekúka kv;a;= lsÍu flfryS wjOdkh fhduq lrkak' iEu i;s follg jrlau''' wvqu ;rfï foi;shlg jrla j;a uDÿ í,SÑka øjHhla yd j;=r fhdodf.k YS;lrKh msßisÿ lr.kak' *erkayhsÜ wxYl 40g wvq WIaK;ajhl YS;lrkh;a" *erkayhsÜ wxYl 0g wvq WIaK;ajhl Freezer tl;a mj;ajd.kak' hï fohla jegqfKd;a th tiekskau fyd|ska msi oukak' l,a bl=;a ùug wdikak wdydr" uq,ska YS;lrK.; lrk ,o wdydr uq,ska mdúÉÑhg .kak' hï fyhlska wdydrfhka ÿ.`o yeuqfjd;a th krla ù ;sîug bv we;s ksid tu wdydr Ndú;fhka j<lskak' we;eï úg nrm;, f,i ¥IH ù we;s wdydr lsisÿ wdldrhl krla ùula msg;g fmkakqï fkdlrk wjia:do we;' tu ksid fi!LHdrlaIs; l%u ñ,oS .ekSfïoS Ndú;dfõoS yeu úgu wkq.ukh lrkak' zzwdydr l,a bl=;a ùfï oskhZZ uekúka ie<ls,a,g .kak

Advertorial wfmalaId ldka;d fi!LH uOHia:dkh

PCOS idhkh (Polycystic Ovarian Syndrom) frda. ,laIK wl%uj;a Tima ùu fyda udi .Kklska Timaùu isÿ fkdùu wêl f,i nr jeäùu fn,af,a iu wjmeye ùu uqyqK mmqj Worh wdY%s; wêl f,i frdau we;sùu .eí .ekSu m%udo ùu ysiflia .e,ù hdu f;,a iys; iu iy l=re,E we;sùu

wfmalaId ldka;d fi!LH uOHia:dkh u|ire Ndjh i|yd úúO fya;= we;¡ ldka;d .eg¨ fyda mqreI .eg¨ fyda fofokdf.au .eg¿ u; ore iïm;a m%udo fjhs' ldka;d .eg¨ w;r tkafvdfuá%fhdaisia frda.h, äïn msgùfï .eg¨ iys; PCOS frda.h mef,damSh kd, j, wjysr;d we;s ù ldka;djka jhi jeäùu jeks .eg¨ nyq,j oelsh yel¡ mqreI .eg¨ jYfhka we;af;a Y=l%dKqj, we;sjk ixLHdfõ fyda .=Kd;aul Ndjfha .eg¨ h¡ wfmalaId ldka;d fi!LH uOHia:dkh fuu ish¨u .egÆ i|yd úfYaIs; jQ idhkhla uÕska myiqlï imhk wdh;khls¡

by; .eg¿ i|yd nr wvq lsÍfï jHdhdu fmdaIK Wmfoia T!Iëh m%;sldr yd úfYaI{ ffjoH Wmfoia fydafudak mÍlaIK yd ksrka;r wjOdkh tkafvdfuá%fhdaisia idhkh frda. ,laIK Timaùu iuÕ we;sjk oreKq há nfâ fõokdj ksrka;r hánfâ we;sjk wmyiqldÍ nj wêl reêr jykh .eí .ekSu m%udo ùu u< iy uq;%d msgùfïoS we;sjk fõokdj ixi¾.fhaoS we;sjk fõokdj m%udo ù y÷kd.ekSfuka frda. ,laIK W.%úh yel¡ orem, isyskh o ì| jeáh yel frda.h y÷kd .ekSu i|yd ialEka mÍlaIK

ffjoHjrhd

Advertorial wfmalaId ldka;d fi!LH uOHia:dkh

reêr mÍlaIK ,emriafldms mÍlaIK m%;sldr T!Iëh m%;sldr tkak;a m%;sldr os¾>ld,Sk m%;sldr l%u Y,Huh m%;sldr oreM, i|yd ia;%S u|ireNdjh i|yd m%;sldr w,ag%d ijqkaâ mÍlaIK uÕska äïnfldaI iy .¾NdIh mÍlaId lsÍu äïn msgùu i|yd flfrk m%;sldr Tima pl%fha ire osk fidhd flfrk m%;sldr ;dlaIKsl l%u uÕska l%shdldÍ Y=l%dKq f;dard .¾NdIh ;=< ;ekam;a lsÍu fyj;a IUI m%;sldrh Y=l%dKq odhl m%;sldrh

mqreI u|ireNdjh i|yd m%;sldr Y=l%dKq mÍlaIK Y=l%dKq wdY%s; úIîc mÍlaId lsÍu Y=l%dKq .nvd lsÍu Y=l%dKq nexl= fiajh iqjkdÍ idhkh jhi wjqreÿ 35g jeä ldka;d Tng msßkefuk iqúfYaIS ffjoH mÍlaIK mema mÍlaIKh mshhqre mÍlaIKh ialEka mÍlaIKh YÍr nr md,khg ffjoH Wmfoia ^wju lsf,da 2la nr uila ;=< kshñ;ju wvq lsÍu& ldka;d ffjoHjßhka uÕska mÍlaId lsÍu yd Wmfoia ,ndoSu ldka;d Tn iqjkdÍ idhkhg fhduq ùfï jeo.;alu ms<sld wjodkula ke;snj ;yjqre lr .ekSu ialEka mÍlaIKh uÕska ldka;d m%ckl moaO;sh ksfrda.S nj mÍlaId lsÍu isref¾ yevh ukdj mj;ajd .ekSu ia:q,Ndjfhka we;sjk frda. j<lajd .ekSu wfmalaId ldka;d fi!LH uOHia:dkh fkd¡ 4" mdf.dv mdr, kqf.af.dv¡ 011-4897897

ldka;d frda. cSú;fha l=uK fyda jhiloS Tng;a we;súh yels PCOS frda.h

Poly-Cystic Ovary Syndrome

cSú;fha l=uK fyda jhiloS Tng;a we;súh yels PCOS frda.h

uqyqfKa yd mmqfõ wkjYH frdau we;sùu l=re,E we;sùu ysiflia .e,ù hdu fn,af,a iu wm meyeùu¡ fï frda. ,laIK iuQyh fmd,sisiaála ´jß iskafv%daï (Poly-Cystic Ovary Syndrome) f,i y÷kajhs¡ fmd,sisiaála ´jß iskafv%daï frda.fha frda. ,laIK jhi;a iuÕ fjkia fõ¡ fuu frda.fha frda. ,laIK uq,a wjosfhaoSu y÷kd .ekSfuka l,a we;sj m%;sldr l< yel¡ nyqfldaIaG äïnfldaIh

ffjoH pïmd fk,aika úisks PCOS kñka ye|skafjk frda.h" YÍrfha fydafudakj, .eg¨ldÍ ;;a;ajhka ksid we;sjk frda. ,laIK iuQyhl tl;=jls¡ fuh jeäúh meñKs miq ldka;djlf.a cSú;fha l=uk fyda mßK;shg jhiloS we;súh yelsh¡ ,lajk îc fuu PCOS hk ku iEoS we;af;a frda.h iuÕu äïnfldaIj, oelsh yels fjkia iajrEmh ksidh¡ tkï äïnfldaI j,ska äïn msg fkdùu ksid iEÿkq oshrh msreKq fldaIaÀld (cyst) nyq,j oelsh yels ùfuka Poly-Cystic hk kduh iEoS we;¡ fuu iajrEmh iEu PCOS frda.sfhl=f.a äïnfldaI ;=<u oelsh fkdyelsh¡ tu iajrEmh fkdue;sj jqjo PCOS frda.h ;sìh yelsh¡ oreM, m%udoùu wêl f,i nr jeäùu

ffjoHjrhd

fldaIaG

mef,damSh kd,h

äïnfldaIh .¾NdIh

ffjoHjrhd

ldka;d frda. cSú;fha l=uK fyda jhiloS Tng;a we;súh yels PCOS frda.h

frda.fha iajNdjh jhi wjqreÿ 15-25 olajd miqjk fh!jkshla kï Timaùu wl%uj;a f,i isÿùu uqyqfKa yd mmqfõ wkjYH f,i frdau yg.ekSu l=re,E we;sfõ¡ isref¾ nr jeäfõ¡ ^YÍr ialkaO Odß;dj ;sìh hq;= uÜgug jvd fnfyúka by< hhs& ysiflia .e<ù hhs f., msgqmi iu l¿ fõ¡

jhi wjqreÿ 45la jk úg we;eï ldka;djka wd¾;j yrKhgo uqyqK md wjika h¡ tfy;a we;eï ldka;dfjda Timaùu w;aols;s¡ fï jhfiaoS by; ,laIK j,g wu;rj l,d;=rlska .¾NdI ms<sld we;sùfï wjodkula o mj;S¡ jhi wjqreÿ 25-35 olajd fh!jkfha Wmßuh N=la;s ú|sk jhia iSudfõoS Tima ùu wl%uj;a f,i isÿ fõ¡ oreM, m%udo fõ¡ .eí .ekSug wmyiq fõ¡ orefjl= ms,sis| .;a; o .íid fõ¡

jhi wjqreÿ 35-45 olajd fh!jkh m,d hoaoS frda. ,laIK .Kko jeä fõ¡ Timaùu wl%uj;aj isÿ fõ¡ isref¾ nr jeäfõ wkjYH frdau yd l=re,E we;s fõ¡ wêl reêr mSvkh we;sfõ¡ oshjeähd frda.hg f.dÿre fõ¡ wys;lr fldf,iagfrda,a jeä ù yoj;a frda. wjodku jeä fõ¡ jhi wjqreÿ 45la jk úg we;eï ldka;djka wd¾;j yrKhgo uqyqK md wjika h¡ tfy;a we;eï ldka;dfjda Timaùu w;aols;s¡ fï jhfiaoS by; ,laIK j,g wu;rj l,d;=rlska .¾NdI ms<sld we;sùfï wjodkula o mj;S¡ fuu ;;a;ajhg cdkuh miqìula we;s nj ffjoHjre wkqudk lrkafka uj yd oshKshka w;r o mjqf,a ifydaoßhka w;r o fuu ;;a;ajh oelsh yels ùfuks¡ fuu frda.h wdY%s;j we;s ia:q,Ndjh frda.fha nrm;,u .eg¨jls¡ tneúka m%;sldr lsÍfïoS YÍr nr wvq lsÍu b;du jeo.;a fõ¡ fuh fndfyda úg frda.shdg ;ksju lr.ekSug fkdyels úh yel¡ ta i|yd ksjeros Wmfoia yd jevigyka wjYH fõ¡ fydafudak ;;a;ajhka mÍlaId lsÍfuka miq T!IO m%;sldr wdrïN l< hq;= h¡ úúO .eg¨ iuÕ ldka;djka ffjoHjreka fj; fhduq jk neúka tu .eg¨j,g wkqj m%;sldr lsÍu isÿ fõ'

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ffjoHjrhd

Technology ,dxflah ffjoH ridhkd.dr flfIA;%fha fmr.ukalrejd'''kjf,dal fufg%dmd,sia ridhkd.dr fiajd

,dxflah ffjoH ridhkd.dr flfIA;%fha fmr.ukalrejd''' kjf,dal fufg%dmd,sia ridhkd.dr fiajdj fÜ jvd;au ld¾h nyq, ridhkd.dr fiajdj - kjf,dal fufg%dmd,sia

r ridhkd.dr fiajdj" oeka jvd;a bvmyiq ia:dkhl isg iajlSh fiajdjka jvd;a mq¿,a lrñka ,dxflah ffjoH ridhkd.dr fiajdjkayS woaú;Sh fmr.ukalrejd ùug lghq;= lrñka isà' kjf,dal fufg%dfmd,sia ridhkd.drh kjf,dal frday,a iud.fuys fukau bkaoshdfõ Metropolis Health Services (India) Pvt. Limited yS taldnoaO jHdmD;shls'

02 jk l,dmh

kjf,dal frday, fï rfÜ ckyo oskQ woaù;Sh fm!oa.,sl frday,hs' fï rfÜ úiQ uyd jHdmdßlfhl= odkm;sfhl= fukau foaYudulfhl= jQ osjx.; tÉ'fla'O¾uodi ue;s÷ka ixl,amhla wkQj t;=uka mqfrda.dñ;ajfhka wdrïN jqKQ kjf,dal frday, fï rfÜ fm!oa.,sl frday,a flafIA;%fha wxY /il m%drïNlhd úh' Metropolis Health Services (India) Pvt. Limited wdh;kh wdishdfõ úYd,;u ridhkd.dr fiajd imhkakd iy f,dj f;jk úYd,;u ridhkd.dr fiajd imhkakd fjhs' kjf,dal frday, iy fufg%dfmd,sia bkaähd wdh;kh iqixfhda.fhka fï rfÜ zzkjf,dal fufg%dfmd,sia ridhkd.dr fiajdjZZ ia:dms; flrefKA 1981 j¾IfhaoSh' w;sYh kjH ;dlaIKhla" fï rfÜ úYsIAG;u ffjoHjreka yd wjfYAI úoHd;aul jD;a;ShfõoSkaf.a weiqr ,nñka oYl .Kkdjla mqrd fï rfÜ ffjoH ridhkd.dr fiajdfõ fmr.ukalrejd jYfhka wkNsNjkSh fiajdjla bgq l< fuu kjf,dal fufg%dfmd,sia ridhkd.drh oeka l%shd;aul jkafka kdj, kdrdfyakamsg mdf¾ wxl 25 orK ia:dkfha msysgqjd we;s iajlSh uQ,ia:dk f.dvke.s,af,a flakaø.; fjñks' kjf,dal fufg%dfmd,sia ridhkd. dr YdLd" tl;= lsÍfï uOHia:dk yryd ,efnk ridhkd.dr mÍlaIK isÿ lsÍu yereKQ úg wKQlfõo" cdk wdY%s; mÍlaIK wdoS Wiia ;dlaIKh fhdod.kakd mÍlaIK iudfhdackh

woaù;sh myiqlï

wNskjfhka wdrïN lrk ,o kdj, kjf,dal fufg%dfmd,sia ridhkd.dr uQ,ia:dkh woaù;sh myiqlï j,ska hqla; jQjls' j¾. wä 5000l ìï jmißhl ndysr frda.S wxYhla fjku we;s w;r wKQl cSj úoHd" m%fõKsl frda." ffcj ridhk" mgl jHdëfõo" reêrfõo wdoS YdLd fjk fjku l%shd;aul fõ' wKQl cSj úoHd" m%fõkSl frda. ridhkd.drh u.ska laIh frda.h" tÉ'whs'ù ffjri" HBV yd HCV mÍlaIKo" JAK 2 wdoS ms<sld mQ¾jfhka ye|skSfï mÍlaIK wdosho isÿ flf¾'

lrk Wiia ridhkd.drhla High End Laboratory jYfhka l%shd;aul fjhs' YdLd 18 la osjhsk mqrd iïnkaëlrkh lrñka kjf,dal fufg%dfmd,sia ridhkd.drh ;=< mj;akd idOKSh

ffjoHjrhd

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For information contact: 011 5577311

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iqúi,a ridhkd.dr cd,h Tiafia jirlg isÿ lrk mÍlaIK ixLHdj ñ,shk 18 lg wêlh'

úfYAI;d iuyrla fuys oelafõ' jd¾;djla ksl=;a fjk yeá Metropolis ridhkd.drfhaoS ksl=;a lrk iEu ridhkd.dr jd¾;djlau ia:dk folloS tys ksjeros;dj ms<sn|j iudf,dapkhlg ,lafõ' fojkqj" jHdêfõo úfYaI{ ffjoHjrfhl= u.sks' ta yereKq úg ljr fyda fodaIhla isÿ fkdjkq msKsi Metropolis ridhkd.drh Error Minimizing Bar Code l%ufõohla iy Digital Signature hk l%uh fhdod.kshs' wms oeka kdj, kjf,dal frday, wNskjfhka wdrïN lrk ,o kjf,dal fufg%dfmd,sia ridhkd.drh kjf,dal fufg%dfmd,sia ridhkd.dr fiajdfõ fufyhqï uOHia:dkh jYfhka l%shd lrhs' kjf,dal fufg%dfmd,sia ridhkd.dr YdLd cd,h kjf,dal fufg%dfmd,sia ridhkd.dr fiajdfõ YdLd 18 la osjhsk mqrd l%shd;aul fjhs' fuu

woaù;sh myiqlï iu.ska Wiia cSj úoHd m¾fhaIK wNskjfhka wdrïN lrk ,o kdj, kjf,dal fufg%dfmd,sia ridhkd.dr uQ,ia:dkh woaù;sh myiqlï j,ska hqla; jQjls' j¾. wä 5000l ìï jmißhl ndysr frda.S wxYhla fjku we;s w;r wKQl cSj úoHd" m%fõKsl frda." ffcj ridhk" mgl jHdëfõo" reêrfõo wdoS YdLd fjk fjku l%shd;aul fõ' wKQl cSj úoHd" m%fõkSl frda. ridhkd.drh u.ska laIh frda.h" tÉ'whs'ù ffjri" HBV yd HCV mÍlaIKo" JAK 2 wdoS ms<sld mQ¾jfhka ye|skSfï mÍlaIK wdosho isÿ flf¾' kso¾Yl tl;= lsÍfï l+ßh¾ fiajdjla iy m%;sM< oeKQï oSfï flá mKsúv fiajdjla kjf,dal fufg%dfmd,sia ridhkd.drh i;=j ld¾hlaIu kso¾Yl tl;= lsÍfï l+ßh¾ fiajdjla mj;S' YdLd" tl;= lsÍfï uOHia:dk iy frday,aj,ska jy jyd tl;= lrk kso¾Yl mÍlaIKhg Ndckh lr blauKska jd¾;d ms<sfh, flfrhs' jd¾;dj ms<sfh, jQ ú.i flá mKsúvhlska (SMS) Tyqg oekQï oSfï fiajdjlao mj;S'

kjf,dal fufg%dfmd,sia ,efndrgÍia mqoa' iud.u 25" kdrdfyakamsg mdr" kdj, ÿrl:k 0114387503

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Nuclear Medicine mh nrjd hg úi÷ï fiùfïoS kHIaÀl ffjoH úoHdfõ odhl;ajh

Nuclear Medicine

mh nrjd hg úi÷ï fiùfïoS kHIaÀl ffjoH úoHdfõ odhl;ajh

Venography & Lymposcintigraphy Scan Explained ll=,a bosóu we;euqkag yefok ie<lsh hq;= wdndOhla nj Tn oekgu;a okakd lreKls' fuh fndfyda úg ;rula wiajdNdúl frda.S ;;a;ajhla jk w;r wNHka;r wjhjhkaf.a l%shdj,shka tll fyda lsysmhl fjkila ksid we;sfõ. b;d mq¿,a jYfhka ie<lSfïoS ll=,a bosóu my; i|yka fya;=ka u;o we;súh yelsh. 01. Systamic ^isiagñla ;;a;ajh& fuh yDoh, fmky¿, jl=.vq, iy wlaudj jeks m%Odk wjhjj, .;sl (Dynamic) l%shdj,sfha fjkialï ksid we;sfjhs. 02. Local cause ^idudkH fya;=ka ksid& ;=jd, fyda wid;añl;djhka ksid we;sjk ;;a;ajhka. 03. jid moaO;sh iïnkaO wdidok ^Disorders& iy Ysrd moaO;sh u;=msg kyr ^Superfical veins& j, we;s jk wdidok.

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bosuqk ll=,la ms<sn|j idudkHfhka fuu wmyiq;d u. yerSu i|yd idhksl mÍlaIdjla isÿ lr by; kHIaGsl ffjoH úoHdj u.ska ir, ms<sfj,g frda.fha ;;= úuihs. fuysoS mrSlaIKhla y÷kajd oS we;s w;r Systemic ;;a;ajhg iy idudkH fuh Isotope Venography f,i fya;=ka u.ska we;sjk bosuqu ks¾Kh y÷kajkq ,nhs' lr .ekSug mrSlaIK we;. tfy;a jid moaO;sh iy Ysrd moaO;sfha iuia:dksl ùfkda.%ems mrSlaIKh wiajdNdúl;d ksid we;s jk bosuqu Isotope Venography uq,a wjia:dfõoS y÷kd .ekSu ùfkda.%ems m%;sìïnlrKfha oS wm ;rula wmyiq jk Ndú;d lrkqfha w;r fï i|yd b;d Limphoscintigraphy fglakSIshï Tc99 iqmrslaIdldÍ f,i iuia:dkslhhs. mÍlaIKh u.ska b;d we;eï wjia:dj,oS frda.S b;sydih iy meyeos,s f,i jid frda.shd mrSlaId l< fmky¿ iy hq;=h' Tyqf.a /wehf.a moaO;sfha we;s wjysr;d ùfkda.%ems mrSlaIK mdoj, we;s úIu;d fol tlu wjia:dfõ iys; is;shula jeks ksrSlaIKh l< hq;=h' isÿlrkq ,nk wmQre m%;sìïnhla ukao" frda. ;;a;ajh ^Lung-Venography) wmg ,nd .; yelsjk mrSlaIKfhaoS, fmky¿ W;aikak jQ úg m%;sldr lsrSu wmyiq m%;sìïnlrKfhaoS w;r frda.shd wvq jk neúks' Ndú;d lrkq ,nk úlsrKYS,S;djhlg udfida,a ^MAAsol& ksrdjrKh ùu;a Ysrd moaO;sfha we;s kï úlsrKYS,S fkdjk jHdl+,;djhka fkdue;s ixfhda.h Ndú;d jk wiajdNdúl ;;a;ajhka ùu;a úfYaIfhka i|yka lrkq ,nhs. kyr .eg .eiSu l< hq;= lreKq w;r fuysoS uq,skau fuysoS uQ,sl jYfhka m%Odk fõ' woyia fjhs' fï frda.shdf.a mdofha y÷kd.ekSu i|yd u;=msg we;s kyrhlg uQ,sl jYfhka (Superficial Vain) mrSlaIK l%u folla Ndú;d l< l=vd boslgqjla Ndú;fhka ;%sudk yelsh. tlla mdrdkaO ridhkhla fhduqjla (Three way tap& iúlr (Contrast Media) mdofha fl<jr .kq ,efí. fuhska tl fhduqjlg Ysrdjlg tkak;a lr X lsrK fia,hska isrsxchla iúlrkq ,nk PdhdrEm .ekSfuka mdoj, Ysrd w;r wfklg ñ.,S. myla (5ml) moaO;sh yeoErSuhs. tfy;a fuh muK jk by< mrsudjlska hq;a m%dfhda.slj b;d ie<ls,su;aj úlsrKYS,S ixfhda.h Ndú;d lrkq l< hq;= w;r Contrast ksid we;s ,efí. fï i|yd Ndú; oaú;aj jk wmyiq;d ie<lsh hq;= fõ. .%dyl .eud leurdj l%shd;aul ùu;a

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Nuclear Medicine mh nrjd hg úi÷ï fiùfïoS kHIaÀl ffjoH úoHdfõ odhl;ajh

iu. frda.shdf.a fomd leurdfjka bj;g weoS hk fõ.hg iudk fõ.fhka by; úlsrKYS,S ixfhda.h kslafIamKh lrkq ,efí. ffjoH ld¾ñl Ys,amSka fom,la tljr l< hq;= fuu kslafIamKh fnfyúka l%udkql+,j ld¾hlaIuj iy ukd wjOdkfhka isÿl< hq;a;ls' fuh .;sl m%;sìïnlrKhla iy ia:;sl m%;sìïnlrKhla tljr isÿ lrkq ,nk wjia:djla f,i ye|skaúh yelsh. jid moaO;sh wdY%s;j we;sjk wiajdNdúl ;;a;ajhka jid moaO;sh wdY%s;j we;sjk wiajdNdúl ;;a;ajhka úuiuq. thg m%:u jid moaO;sh hkq l=ulaoehs ieflúka y÷kd.; hq;=h. isref¾ wdrlaIK moaO;sh jid moaO;shhs. isrerg meñfKk ndysr úIîc iu. igka lsrSug iajNdjfhka ilid we;s fuu jid moaO;sfha bosóula, wjysr;djhla we;s ùu ll=,a bosuqul tla wjia:djls. jid .eá;s isref¾ úfYaIs; ia:dk Wod:lsys,s m%foaYh, fn,a, fomi, iy lk msgqmi msysgd we;. jid moaO;sfha widudkH;djhka ie<lSfïoS m%Odk fya;= folls. 1 jid kd, wjysr ùu hïlsis ms<sld ;;a;ajhka ksid we;s úh yelsh. Wod:- mqria:s .%kaÓ ms<sld ^CA Prostate) äïnfldaI ms<sld ^CA Overies& .¾NdI ms<sld ^CA Uterus& 2 hïlsis ia:dkhl jid .%kaÓ bosó we;akï. ^Wod:- bls<s m%foaYh

wdY%s;j& thg wdikakfha we;s jk úIîc u.ska we;sjk frda.S ;;a;ajhla ksid tu .%kaÓ wjysr úh yelsh. fï iïnkaOj ;jÿrg;a lreKq fidhd ne¨jfyd;a jid moaO;sh iy wkqnoaOj we;s jk iuyr wjysr;d ksid miq ld,hloS kej; h:d ;;a;ajhg m;a l< fkdyels ia:sr fjkialï mjd isÿúh yelsh' Tn ljqre;a okakd iy oel we;s woyd.; fkdyels ;rï bosó we;s fomd iys; Elephant leg kï frda. ;;a;ajh fuys tla wka;hla fõ' fuysoS uQ,slju isÿjkqfha nrjd frda.h we;s lrjk mrfmdaIs;hka ksid mdofha we;s jid .eá;s l%ufhka wjysr ùu ksid jid ;r,h mdoj, tla/ia ùuhs' tneúka fuu frda. ;;a;aj uq,a wjia:dfõoSu oek .ekSu iy ksYaph lr .ekSu b;d jeo.;a fõ' fï i|yd kHIaÀl ffjoH úoHdj uy;a jQ odhl;ajhla imhk nj isysl< hq;=h' uQ,sl jYfhka jid moaO;sh wdY%s;j l< yels mrSlaIK folls 1' jid kd, ^mdofha isg by<g osfjk& úodrKh jk mßos mdrdkaO ridhkhla kyrhlg kslafIamKh lsrSu;a iu. tlaia lsrK mrSlaIKhlg ,la lsrSu' ^Lymphogram& fuh m%dfhda.sl ÿ¾j,;d ksid t;rï Ndú;fha ke;' tfiau Y,Hl¾uhka w;r;=r isÿ lsrSu ksid frda.shdg t;rï myiq w;aoelSula fkdjkq we;. 2' kHIaÀl ffjoH úoHdfõ

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tk ,sïfmdiskaÜ.%ems ^Limphoscintigraphy) mrSlaIKh. ,sïfmdiskaá.%ems mrSlaIKh Limphoscintigraphy fuu iqúfYaIS ,sïfmdiskaá.%ems mrSlaIdj hkq l=ulaao@ fuysos wm uq,skau frda.shdf.a ll=f,a m<uq we.s,slre w;r uekúka msrsisÿ lr iuia:dksl kslafIamKh i|yd iQodkï lr .kq ,nhs.

idod.;a úlsrKYS,S ixfhda.hls. fuh kslafIamKh lsrSu i|yd wm b;d l=vd bkaishq,ska isrskach Ndú;d lrkq ,nhss. frda.shdf.a we`.s,slre w;r we;s WmÉPùh mglhg kslafIamKh ,nd fokq ,efí. fuu ixfhda.h ,nd oS úkdä oyhla muK ld,hloS kHIaÀl m%;sìïnlrKg iQodkï lrkq ,efí. kHIaGsl m%;sìïnlrKh iuia; mdohu m%;síïnlrKh k< yels jk mrsos ;dlaIK yelshdjla we;s .eud leurdjla u.ska isÿ lrkq ,nhs' fuhg idudkHfhka úkdä úiaila muK .;jk w;r fuu m%;sìïnhu meh foll ld, mrdihlg miq h,s;a ,nd .kq ,nhs. fuu mÍlaIKh u.ska b;d meyeos,s f,i jid moaO;sfha we;s wjysr;d iys; is;shula jeks wmQre m%;sìïnhla wmg ,nd .; yelsjk w;r frda.shd wvq úlsrKYS,S;djhlg ksrdjrKh ùu;a jHdl+,;djhka fkdue;s ùu;a úfYaIfhka i|yka l< hq;= lreKq w;r m%Odk fõ.

fuysoS kslafIamKh lrkq ,nkafka wmg iqmqreÿ fglakSIshï Tc99 iuia:dkslh iu. i,a*¾ fld,hsâ ^Sulpher colloid& fyda kefkda fldf,dhsâ ^Nano colloid& ksjerosj

fuu mrSlaIKh fmardfoKsh iy fld<U frday,aj, kHIaGsl ffjoH fomd¾;fïka;=j,o isÿ lr .; yels w;r, kj;u oaú;aj .%dyl leurdjla u.ska by< ;dlaIKfha m%;sìun ,nd .ekSug kdrdfyakamsg msysà tlu fm!oa.,sl wxYhg wh;a ,xld fydiamsÜ,ayS kHIaÀl ffjoH fomd¾;fïka;=fjka l,ska oskhla ,nd .ekSfuka isÿ lr .; yelsh.

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Brain & Memory u;lh cSú;fha ld,d;%h hd lrhs

Memory Explained

u;lh cSú;fha ld,d;%h hd lrhs zzwe;eï isÿùï iod wm u;lfha /f|kafka;a" we;eï isÿùï u;lfha fkd/f`okafka;awehs @ zzmqxÑ ikaosfha wlalf. w;ska w,a,df.k biafldaf,a .sh yeá'''ZZ zzfj,a bmke,af,a ÿj mksñka .fï fld,af,d l=reÜfgd tlal ld,h .; lrmq yeá'''ZZ zzta ìhlre oji''' u;la lrkakla wlue;s iqkdñh wfma rgg úkdYh w;a lr ÿka oji '''ZZ zzìß|g nnd yïnfjkak frdayf,a m%iQ;sld.drfha ú,s fõokd ú|soaoS yoj; ála '''' ála''' .dk Yíoh mjd wiñka .; l< w;SrKd;aul ld,h ''''''''ZZ fï úosyg fldhs ;rï foaj,a wfma u;lfha .nvd fj,d ;sfhkjdo@ nd, ikaosfha isÿùï" mdif,a iriúfha úIhdkqnoaO oeKQu" cSjk w;aoelSï fï úosyg w;S;fha isÿùï wmQ¾j is;=jï fm<la fia wfma fud<fha .nvd fjkjd' fï w;S; isÿùï wm zzu;lhZZ ^Memories& f,i yªkajkjd'

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tod fuod ;=r fndfyda oE wmQrejg wfma fud<fha .nvd jqK;a óg meh lsysmhlg fmr .;a wdydr fõf,a wvx.= oE wu;l fjk fj,dj,a mjd ;sfhkjd fkao@ we;eï foa .f,a flgQ wl=re fia iod u;lfha r|jkakg;a" ;j;a foa flá ld,Sk u;lh f,i ;ekam;a lr l,lska ta neyer ,kakg;a fl;rï wdhdifhka W;aiy l<;a we;eï ldrKd w, fld<fha fkd/F|k c, ìxªj fia ;ekam;a fkdjkakg;a fya;=j lsu'''@ wm u;lh ms<sn|j yodruq Tn flfkla uqK .eiqKDu" hï isÿùula isoaO jqKdu ke;akï hula bf.k .;a;du ta yd wod< ldrKd fud<fha ;ekam;a l< hq;=o@ ke;so@ hkak Tfí fud<h úuikjd' zz;ekam;a l< hq;=ZZ hk ;SrKfhaoS ta iïnkaO File tlla yefokjd' ^Memory filing& ke;akï w, fldf<A jegqKq j;=r ìxÿj jf.a Delete fj,d hkjd' ysfmdleïmia l%shdldß;ajh Tn wm okakd wdldrhg fud<h b;d ixlS¾K jQ wjhjhla' tys u;lh iïnkaO ldrKd j,g odhl jk fldgia lsysmhlau ;sfnkjd' kuq;a ta w;ßka m%Odk jkafka ysfmdleïmia keue;s fldgi' we;eï fud<h ;=< ;ekam;a jk ldrKd ld,h;a iuÕu úhelS hkjd' mß>Klh jqKla tfyufka ''' kshñ; Odß;djg <Õd fjkfldg

w¿f;ka o;a; ;ekam;a lrkak kï mrK o;a; iuyrla ueflkak ´ks' mß>Klfha fndfyda Wmdx. j, fï o;a; iajhxl%Shj bj;a fjkjd' fï úosfya hdka;%Khla fud<fha;a ;sfnkjd' fud<fha uia;sIAl ndyslh kï b;d jeo.;a fldgila ;sfnkjd' th ;uhs fï Refreshing ld¾hhg odhl fjkafka' u;lhg we;sjk ndOd iuyr úg Tn ks;r olsk fyd|g yqre mqreÿ ñ;=rkaf.a kï Tng

wd>d;fhka we;eï úg u;lhg úYd, ndOd f.k wd yelshs' wd>d;fhaoS fud<fha hï fldgilg jk reêr iemhqu wvd, ùfuka ta m%foaYh ñh hkjd' ^th kej; ms<silr ùu W.yghs& túgo u;lhg ie<lsh hq;= n,mEula we;s úh yelshs'

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Brain & Memory u;lh cSú;fha ld,d;%h hd lrhs

wu;l fjkjd' túg Tn wmyiqjg m;afjk wjia:d ´ks ;rï' yeuodu im;a;=j ;shmq ;ek fydhk wjia:d;a ;sfnkjdfka' wms fldhs ;rï mdvï l<;a iuyr fj,djg iuyr m%YAk j,g ms<s;=re fokak neß fjkjd' fïjd ir< ldrKd' ´kEu flfkl=g fjkak mq¿jka' u;lfha we;eï idOl Wmßuhg n,.ekafjoaoS iuyr idOl b;d wvq wjOdkhlg ,laùuhs Bg fya;=j' fuh Filing system tl úiska ckkh lrk idudkH ;;a;ajhla ñi l,n,hg m;aúh hq;= ldrKdjla kï fkdfjhs'

cSú;h ixúOdkd;aul lr.kak yeuodu lrk lshk foaj,a j,g ms<sfj, tl;= lrkak' túg fï weneoaos j,ska fndfyda ÿrg ñfokak mq¿jks' tfy;a we;eï wjia:d j,oS u;lhg úYd, ndOd t,a, jkakg mq¿jks' ta .ek;a wm hï oeKQj;a ùula jqfKd;a fyd|hs' flfkl=g we,aIhsu¾ frda.h yeÿKdu iakdhq ffi, j, l%shdldß;ajhg ndOd we;s lrk zz;ekam;=ZZ yefokjd' m%;sM,h jkafka zzu;lhZZ l%u l%ufhka ÿ¾j, ùuhs' wd>d;fhka we;eï úg u;lhg úYd, ndOd f.k wd yelshs' wd>d;fhaoS fud<fha hï fldgilg jk reêr iemhqu wvd, ùfuka ta m%foaYh ñh hkjd' ^th kej; ms<silr ùu W.yghs& túgo u;lhg ie<lsh hq;= n,mEula we;s úh yelshs'

Advertorial orejl=f.a uki j¾Okh lr .kakg uõmshka l< hq;= foa'''

orejl=f.a uki j¾Okh lr .kakg uõmshka l< hq;= foa'''

orejkag ie,ish hq;= fmdaIKh yd orejkag ,nd osh hq;= W;af;acl Wmfoia <ud frda. úfYaI{ ffjoH wð;a wurisxy —bf.k .kak lsisu fohla fï <uhg u;l ysákafk kEfk˜ lsh,d fndfyda foudmshka ;ukaf.a mdi,a hk orejka .ek ueisú,s k.kjd' tA w;fr <uhskaf. u;l Yla;sh j¾Okh fjk úÈfya wdydr-mdk fudkjo lsh,d wyk ujqjrekq;a isákjd' l=vd orejl=f. fud<h j¾Okh lshkafk mq¿,aj l;d l< hq;= ud;Dldjla' ta .ek uõmshjreka fjfiiskau ie<ls<su;a fjk ksidfjkau Tkak wms ta .ek;a l;dnyl fhfokak wjia:djla fhdod.;a;d' orejl=f. fud<h j¾Okh jkafk wdydr mdkj,skau muKla fkdfjhs' wdydr lshkafk orefjl=f.a fud<fha j¾Okhg wjYH fjk tl fohla ú;rhs' fmdaIH fukau W;af;acl;a WmÈk úg orejl=f.a fud<fha nr

jeäysáhkaf.a fud<fha nfrka 25] l m%udKhla ;uhs ;sfhkafk' orejdf.a jhi wjqreÿ ;=k jk úg th jeäysáhl=f. fud<h ;rugu j¾Okh fjkjd' tA nßka" ffi, m%udKfhka iy ffi, w;r wka;¾ iïnkaO;djh lshk ldrKdj,ska' tA wkqj m<uq wjqreÿ ;=k we;=<; orejl=f.a fud<h j¾Okh ùug fmdaIH mÞ¾: jf.au W;af;acl wjYHhs' orejl=f. uq,a wjqreÿ ;=kl ld,h lshkafk b;du;au jeo.;a ld, mßÉfþohla' W;af;acl meálsßh wms uq,skau fud<fhys j¾Okhg orejl=g wjYH W;af;acl fudkjd±hs n,uq' orejd iu. l;d lsÍu" .S; .ehSu" orejdg fyd¢ka wdorh fmkaùu" ukdj yeisrùu hk fï ldrKd ;uhs fud<h j¾Okh i|yd wjYH W;af;acl jkafk' mxfÉkaøshka yryd hk W;af;acl fï ld,fha§ orejdg b;du jeo.;a fjkjd' orefjl=g wdorh oelaùu''' ks¾udKYS,Sj orejd tlal cSj;a ùu fldhs ;rï jeo.;ao lshk ldrKh oeka Tng f;afrkjfk' fmdaIK meálsßh fmdaIKh .ek l;d lrk úg orejdf.a uki j¾Okh ùug m%Odk jYfhkau wjYH jkafka ujqlsßhs' ujqlsßj, orejl=f.a uki j¾Okh ùu i|yd wjYH ish¨u fmdaIH mÞ¾: ksis ixhq;shlska mj;skjd' fjk;a i;a;aj lsß yd ujqlsß w;r mj;sk fjki .ek Tn ±k isàu jeo.;a' Wmf;a isg m<uq jir ;=k olajd

ffjoHjrhd

Advertorial orejl=f.a uki j¾Okh lr .kakg uõmshka l< hq;= foa'''

uki iS>%fhka ÈhqKq ùu ukqIHhdg wdfõ‚l jQ fohla' kuq;a t<lsß jeks i;=kaf.a lsß ieliS ;sfnkafka m<uq jir lsysmh ;=< tu i;=kaf.a megjqkaf.a YÍr m%udKh iS>%fhka j¾Okh ùu i|ydhs' tA wkqj orejl=f.a Wmf;a isg uq,a jir ;=k ;=< fud<fha ffi, j¾Okh iS>%fhka isÿúh hq;=hs' fï i|yd uq,a ld,fha§ fyd|u fmdaIH mÞ¾: ,efnkafk ujqlsßj,ska' fud<fha j¾Okhg fm%daàk" msIaGh" Lksc ,jK" úgñka hk fï ish¨u fmdaIK fldgia wjYHhs' orejdg

>k wdydr §u wdrïN l< miq fï ish,a,u ,efnk wdldrhg wdydrfõ, ilia lr Èh hq;=hs' wdydrhg úúO;ajhla tla lr.kak tlu wdydr j¾.hla ÿkafkd;a wdydrfhys ;sìh hq;= iunr nj ke;s fjkjd' tA ksid ish¨u fmdaIH mÞ¾: tl;= jk mßÈ wdydr ,nd Èh hq;=hs' fm%daàk uki j¾Okhg úfYaIs; fmdaIH mÞ¾:hla jkafka fm%daàka' fm%daàk wvx.= wdydr f,i uia" ud¿" ì;a;r jeks oE olajkak mq¿jka'

02 jk l,dmh

laIqø fmdaIl ukfia j¾Okhg ;j;a b;d jeo.;a fmdaIH fldgila jkafka laIqø fmdaIl mÞ¾:hs' fïjd w;r jeo.;a tlla ;uhs f*da,sla wï,h' n;a jf.au fndaxÑ jeks rks, l=,fha t<j¿ j¾.j,;a" f.dgqfld<" l;=reuqrex.d jeks ;o fld< mdg m<d j¾.j,;a f*da,sla wï,h uekúka wvx.= fjkjd' laIqø fmdaIl mÞ¾: w;r ;j;a w;jHjYH øjHhla f,i Tfu.d 3 olajkak mq¿jka' fuys wvx.= jeo.;au ix>glhla ;uhs DHA lshkafk' fïjd úYd, jYfhka ujqlsßj, wvx.= jk w;r tA yereKq úg m%Odk jYfhka mj;skafka ud¿j,hs' tksid l=vd orejkag ud¿ wdydrhg §u b;du;au jeo.;a' orejdf.a jhi udi kjfha§ isgu ud¿ wdydrhg tl;= lr Èh yelshs' hlv hlv o fud<fha j¾Okhg w;HjYH laIqø mÞ¾:hla' uia" ud¿ jf.au fld< j¾.j,;a hlv wvx.=hs' fud<fha ffi, wdrlaId lrk m%;sTlaisldrl m%;sTlaisldrl ix>glh ;j;a w;HjYH fmdaIH mÞ¾:hla' thska m%Odk jYfhkau flfrkafka fud<fha ffi, ñhhdu je<elaùuhs' wfma fud<fha ffi, ´kEu jhil§ iq¿ m%udKhla ñhhk w;r w¨;a ffi, j¾Okh ùuo isÿ fjkjd' kuq;a jhia.; jQ úg ffi, ñh hdu ñi w¨;ska ffi, ye§ula isÿ jkafk kE' m%;sTlaisldrl kï ix>glh ,eîu ksid <uhskaf.a fud<fha ffi,

wdrlaId fjkjd' w¿;a t<j¿ iy w¨;a m<;=re j, m%;sTlaisldrl ix>glh wvx.=hs'

orejkaf.a wdydrhg wkjYH f,i tl;= fkdl< hq;=u fohla jkafka iSks" tA jf.au fgd*s" fpdl,Ü jeks me‚ ri wdydr' me‚ ri wdydrhla .;a ú.iu wfma reêrfha iSks idkaøKh by< hkjd' bkamiq YÍrh Bg iß,k mßÈ fydafudak ksmojk w;r tA fydafudak ksid tljru iSks uÜgu kej; my<g tkjd' fufia wêl f,i iSks uÜgu by< hdu yd tA iu.u my< tAu l=vd orejl=f.a fud<fha j¾Okhg wys;lr f,i n,mdkjd' ì;a;r úia;r orejl=g myiqfjkau Èh yels fmdaIH mÞ¾: rdYshla wvx.= wdydrhla jkafka ì;a;rhs' fuys úgñka tA" úgñka î" úgñka B" fm%daàka wd§ jeo.;a fmdaIH mÞ¾: rdYshla mj;skjd' orefjl=f.a jhi udi kjh iïmQ¾K jQ miq ì;a;r ,nd§u wdrïN l< yels w;r jhi wjqreoao iïmQ¾K ùfuka miq Èklg ì;a;rhla ne.ska §u iqÿiqhs'

ffjoHjrhd

Advertorial orejl=f.a uki j¾Okh lr .kakg uõmshka l< hq;= foa'''

n,mdkjd' tksid orejkag me‚ ri wdydr Èh hq;af;a b;du;au wvqfjkqhs' p¾hd;aul m%fõYhla orefjl=f.a uki j¾Okhg fuf,i wdydr ,nd§u ñi u;l Yla;sh j¾Okh l< yels úfYaIs; wdydr fyda T!IO j¾.hla ms<sn|j ;ju ikd: ù kE' u;l Yla;sh lshkafk fi!LH iïmkak fud<hla u; mokï jQ fohla' u;l Yla;shg n,mdk lreKq lsysmhlau ;sfnkjd' fud<hg ,efnk W;af;ack iy W.;a foaj,a kej; kej; wefikakg ie,eiaùu;a kej; kej; lshùu;a hk fï lreKq u;l Yla;sh jeä lrùug fya;= fjkjd' tfiau <uhdf.a ukig Tfrd;a;= fok m%udKhg lreKq f;dard fírd §u úfõlh iy kskao ksis wkaoug ,eîu hk fïjdo u;l Yla;sh j¾Okh ùug w;HjYH jk fya;= ldrKdhs'

orejkag fkdosh hq;= meKsri orejkaf.a wdydrhg wkjYH f,i tl;= fkdl< hq;=u fohla jkafka iSks" tfiau fgd*s" fpdl,Ü jeks me‚ ri wdydr;a fkd§ isák ;rugu fyd|hs' wêl me‚ ri wdydrhla .;a ú.iu wfma reêrfha iSks idkaøKh b;du;a by< hkjd' bkamiq YÍrh Bg iß,k mßÈ fydafudak ksmojk w;r tA fydafudak ksid tljru iSks uÜgu kej; my<g tkjd' fufia wêl f,i iSks uÜgu by< hdu yd tA iu.u my< tAu l=vd orejl=f.a fud<fha j¾Okhg wys;lr f,i

kskao;a w;sYh jeo.;a wjqreÿ 12la muK jk;=re orejl=g meh wgl kskaola tl È.gu ,eîu jeo.;a' ksÈ ueÍu ;=<ska uki blaukskau jhig hEu isÿfjkjd' jhia.; ùfï§ we;s úh yels äfukaIshd ^fud<fha ffi, ñhhEu ksid wu;l ùu& frda.h jhia.; ùug l,skau yg .ekSugo ksÈ jeÍu fya;= fjkjd' orejl=f.a uki fyd¢ka j¾Okh ùug ujqlsß yd iunr wdydr ,eîfï jeo.;alu;a" orejd l%ufhka j¾Okh jk úg ksis kskaola iy úfõlhla ,eîfï jeo.;alula ±ka Tng meyeÈ,s jQjdg ielhla kE'

02 jk l,dmh

ffjoHjrhd

Dental Care c,fha *af,darhsâ we;s m%foaYj, jdih lrk whg *af,darhsâ oka;df,am wys;lr o@

c,fha *af,darhsâ we;s m%foaYj, jdih lrk whg *af,darhsâ oka;df,am wys;lr o@

Wmfoia uyr.u cd;sl uqL fi!LH wdh;kfha m%cd oka; úfYaI{ ffjoH ks,ka; r;akdhl *af,darhsâ wmf.a o;aj, wdrlaIdjg w;HjYHh' kuq;a *af,darhsâ jeäùu o;aj,g ys;lr fkdfõ' th oka; *af,dafrdaishdj kñka

02 jk l,dmh

ye¢kafjk frda. ;;a;ajh we;s lrjkakls' wfma rfÜ W;=reueo m<d; we;=¿ ;j;a fkdfhl=;a m%foaYj, o;a ÿUqre meyehg yereKq orejka Tn;a ±l we;ehs is;uq' tA oka; *af,dafrdaishdj ksidh'

oka; *af,dafrdaishdj kñka y÷kajk o;aj, *af,darhsâ jeäùu ksid yg .kakd frda. ;;a;ajhg n,mdkafka wdydr ud¾.h Tiafia YÍrhg we;=,ajk *af,darhsâh' o;a ue§fuka miq fl< .eiSu yd lg fia§u lrk ksid;a oka;df,amj, we;s *af,darhsâ bj;a ù hhs' tksid *af,darhsâ wvx.= oka;df,am u.ska YÍrh we;=<g *af,darhsâ .uka lrkakg kï tAjdhska o;aueo .s,Su l< hq;=h' *af,darhsâ jeämqr YÍr.; ùfï n,mEu jeä Ôú;fha l=uk ld,hl§o @ wmf.a fmkqug jeo.;a jk bÈßmi iaÓr o;a j¾Okh jkafka <uhl=f.a jhi wjqreÿ 8-10 jk f;lah' fï ld,fha o;a ;=< jeäfhka *af,darhsâ tl;= ùfuka oka; *af,dafrdaishdj yg.ekSu i|yd

jeämqr n,mEula we;s fõ' fï ksid orejka îug .kakd c,h;a ksjfia wdydr msiSug .kakd c,h;a ms<sn|j foudmshka jeäysáhka úfYaIfhka ie<ls,a,g .; hq;=h' .eìks uj .kakd mdkSh c,fha jeämqr *af,darhsâ ;sîu l=i ;=< ys¢k orejdg *af,dafrdaishdj we;s ùug n,mdhso@ uj mdkhg .kakd c,fha ;sfnk *af,darhsâ whk jeoEuy yryd l<,hg hdula isÿ fkdfõ' tksid uj jeäfhka .kakd *af,darhsâ u.ska

orejdg n,mEula isÿjk njla fuf;la ikd: ù ke;;a ujg fjk;a YdÍßl m%Yak we;sjkakg neßlula ke;s ksid .eìks ld,h ;=< .kakd mdkSh c,h .ek ie<ls,su;a úh hq;=h'

ffjoHjrhd

Dental Care c,fha *af,darhsâ we;s m%foaYj, jdih lrk whg *af,darhsâ oka;df,am wys;lr o@

u.ska YÍrh we;=<g *af,darhsâ .uka lrkakg kï tAjdhska o;aueo .s,Su l< hq;=h' tfia È.= l,la *af,darhsâ oka;df,am o;a ue§fï§ .s,Su ;=<ska iq¿ *af,dafrdaishd ;;a;ajhla yg.ekSug bv we;' flfia jqjo meyeÈ,sj tlla lsj hq;=h' *af,darhsâ wvx.= oka;df,am fujeks m%foaYj, wh Ndú;d lsÍu ;=<ska úfYaI wjdishla isÿ jkafka ke;' tfiau *af,darhsâ rys; oka;df,am Ndú;d lsÍu ksid úfYaI jdishla w;ajkafka o ke;'

c,fha *af,darhsâ wvx.= m%foaYj, jdih lrk wh *af,darhsâ wvx.= oka;df,am Ndú;d lsÍu kqiqÿiqo@ fuh fndfyda fokl= w;r ;sfnk u;hls' kuq;a fï u;fha i;H;djhla ke;' oka; *af,dafrdaishdj kñka y÷kajk o;aj, *af,darhsâ jeäùu ksid yg .kakd frda. ;;a;ajhg n,mdkafka wdydr ud¾.h Tiafia YÍrhg we;=,ajk *af,darhsâh' o;a ue§fuka miq fl< .eiSu yd lg fia§u lrk ksid;a oka;df,amj, we;s *af,darhsâ bj;a ù hhs' tksid *af,darhsâ wvx.= oka;df,am

orejka *af,darhsâ iys; oka;df,aj,ska o;a ueo tAjd .s,Su je<elaùu i|yd my; i|yka ls%hdud¾. .ekSu fhda.H fõ' l=vd orejkag wuq lv, weghl ;rfï m%udKhla oka;df,am nqreiqjg oud fokak' wjqreÿ y;rg wvq orejl=g kï oka;df,am áhqí tfla nqreiqj .Eùu ;=<ska ,nd .kakd ;=kS mg,hl m%udKfhka oka;df,am ,nd fokak' orejd o;a ue§fï§ yeuúgu jeäysáhl=f.a iqmÍCIdj hgf;a th isÿ l< hq;= nj isys ;nd .kak' tA wkqj orejd oka;df,am .s,Su j<lajd fl< .eiSug Wkkaÿ lrúh yelsfõ' yels kï fjf<|fmdf<a we;s <uhska i|ydu jQ oka;df,am j¾.hla /f.k fokak'

ldka;d frda. .¾NdIh my;a ùu - ueÈúfha miqjk ldka;djkag we;s úh yels .eg¨jla .ekhs fï

Uterine Prolapse

.¾NdIh my;a ùu ueÈúfha miqjk ldka;djkag we;s úh yels .eg¨jla .ekhs fï Wmfoia m%ij yd kdßfõo úfYaI{ ffjoH wd¾'tka'Ô'rdcmlaI ueÈúfha miqjk iuyr ldka;djka ;=< lysk úg tfyu;a ke;akï ;Èka iskdfik úg bfíu uq;%d iaj,amhla msgùu olakg ,efnkjd' kuq;a fndfyda ldka;djka fujeks fohla ffjoHjrhl=gj;a fy<s lrkakg ue,s jkafka ,eÊcdj ksihs'

ffjoHjrhd

ldka;d frda. .¾NdIh my;a ùu - ueÈúfha miqjk ldka;djkag we;s úh yels .eg¨jla .ekhs fï

fldfydu jqK;a fï jf.a ,laIKhla we;s ùug n,mdk tl fya;=jla ;uhs .¾NdIh my;a ùu' .¾NdIh my;a ù we;s nj y÷kd.kafka fldfyduo @ .¾NdIh my;a ù we;s nj yefÕk wjia:dj, fndfyda úg uq;%dYh my;a ù ;sfnkakg mq¿jka' tAl frda.shdg yßhg fjkalr y÷kd .kak nE' tfiau .¾NdIh" uq;%dYh iy wfOda ud¾.h;a tljr my;a fjkak;a mq¿jka' tf,i my;a ù ;sfnkafka fuhska l=uk wjhjho@ tfyu ke;akï tA ;=ku o hkak y÷kd.; yelafla ffjoH mÍCIK u.skqhs' fldfydu jqK;a fï l=uk wjhjhla my;a jqK;a frda.shdg uq,skau ±fkk ,laIKh jkafka jeisls,shg f.dia fidaok úg fhdaks ud¾.fhka hula msg;g tkjd fuka w;g ±kSuhs' uq,a ld,fha§ fï ,CIKh tfia msg;g meñK my;a jqj;a h<s ydkais ùu jeks wjia:djl§ fhdaks ud¾.h we;=<;g bfíu wdmiq hk ;;a;ajhla olskakg ,efnkjd' fï ;;a;ajh .ek fkdi,ld yeÍu ksid B<Õg isÿjkafka l%u l%ufhka fï ±fkk m%udKh ;j;a jeä ùuhs' tA wkqj .¾NdIh fyda uq;%dYh ke;fyd;a tA folu fhdaks ud¾. fhka msg;g weú;a h<s we;=<g hkafk ke;sj t<sfhau mj;skjd' uq¿ .¾NdIhu fyda uq;%dYhu fufia msg;g tkafk kE' kuq;a hï m%udKhla msg;g meñK tA wdldrfhkau th msg;g mj;skjd'

fufia ùug fya;= fudkjdo@ .¾NdIh yd uq;%dYh jfÜ >klï isúhla jf.au udxY fmaYs mj;skjd' tAjdfha ;sfnk >klï núka ;uhs th YÍrh ;=< kshu wdldrfhka kshu ia:dkj, r|jd ;nkafka' kuq;a fï isúh yd udxY fmaYs we§u ksid tys Yla;su;a nj" tkï >klï nj wvq ù th nqre,a ùu isÿfjkjd' túg ;uhs th my;a fjkafka' fufia ;=kSùug fya;= folla ;sfnkjd' idudkHfhka ldka;djkaf.a Tima pl%h k;r jQ miq Biag%cka fydafudakh wvqùu ksid mgl ;=kS fjkjd' th tl fya;=jla' iuyr ldka;djkaf.a mrïmrdfjkau fufia mgl ;=kS ùfï ;;a;ajh mj;skjd' tjeks ldka;djkag Tima kej;Sug fmr tkï ;reK jhfia§ jqj;a fufia .¾NdIh my;a ùfï ;;a;ajh we;s jkak mq¿jka'

.¾NdIh" uq;%dYh iy wfOda ud¾.h my;a fjkak mq¿jka' fï l=uk wjhjhla my;a jqK;a frda.shdg uq,skau ±fkk ,laIKh jkafka jeisls,shg f.dia fidaok úg fhdaks ud¾. fhka hula msg;g tkjd fuka w;g ±kSuhs'

02 jk l,dmh

idudkH ldka;d fY%daKs jHqydj

.¾NdIh

.¾NdIh md;aùu

.=oud¾.h

uq;%dYh

uq;%d m%Kd,

fhdaks ud¾.h

fufia Biag%cka wvqùu fyda mrïmrdfjka mgl ;=kS ùfï ;;a;ajh ;sîu hk fya;= ;snqK;a .¾NdI my;a ùu yeu ldka;djlgu w;aú¢kakg isÿjk ;;a;ajhl=;a fkdfjhs' fuh isÿjkafka ;u ;ukaf.a Ôjk meje;au u;hs' tfia isÿjkafka l=uk wjia:dj,§ o @ ore m%iQ;s §¾> ùu tl fya;=jla' ore m%iQ;sh §¾> jkafka fndfyda úgu m%iQ;sfha§ orejd isrùu ksihs' m%iQ;sfha§ w~q Ndú;d lsÍu ksid fhdaks ud¾.fha bÍï we;s ùu ;j;a fya;=jla' ks;r nr bis,Su;a fï i|yd n,mdkjd' nr Wiq,kafka ke;s ldka;djla jqj;a nr jeä orejka

ks;r ks;r jvdf.k isàu;a fï i|yd fya;= úh yelshs' tA jf.au u, noaOh ksid ks;r ks;r ;egóu" weÿu jeks frda. ksid Worhg f;rmqula we;s ùu" .¾NdIh *hsfn%dhsâ jeks f.ä ksid tu nrg my;a ùu jf.au Wor l=yrfha j;=r msÍu" ^fufia j;=r msfrkafka yDo frda." wlaud frda." ms<sld frda. jeks fya;= ksihs& orejka jeämqr ìys lsÍu hk fïjd .¾NdIh my;aùug n,mdk fya;=kqhs' Biag%cka wvqùu fyda mrïmrdfjka mgl ;=kSùfï ;;a;ajh ;sfnk whg jqj;a .¾NdIh my;aùu isÿjkafka by; lS wdldrfha fya;+kaj, n,mEu ksihs'

ffjoHjrhd

ldka;d frda. .¾NdIh my;a ùu - ueÈúfha miqjk ldka;djkag we;s úh yels .eg¨jla .ekhs fï

.¾NdIh md;aùfïoS ia:dms; lrk j<¨ úúOdldr fõ' rEmfha oelafjkafka md;a jQ .¾NdIh kshñ; ia:dkfha ia:dms; lrk j<,a,ls'

fufia .¾NdIh fyda uq;%dYh fyda ke;fyd;a tA folu fyda my;a jQ miq lysk úg uq;%d iaj,amhla msgùu m%Odk ,laIKhla' tfiau we;eï úg uq;%d msg jkafka ke;sj uq;%d jf.au wfOda ud¾.h;a msg;g meñ‚h yels nj by; i|yka l<d' tfia jQ úg u< msg lsÍfï§ ±ä wmyiq;djla we;s fjkjd' u<my lsÍfï wjYH;djh ksfrda.S fY%daKs mdou

;snqK;a wfOda ud¾.h fhdaks ud¾.fha ysrù ;sîu ksid .eg¨ we;s fjkjd' tfia ysrù ;sfnk ia:dkfha wfOda ud¾.h keó ;eîu ksid tA keuqKq ia:dkh ;=< u, isrùu isÿfjkjd' túg fhdaks ud¾.h weÕs,af,ka ;o l< hq;=hs' tfyu ;uhs u, msg lrkakg isÿjkafk'

m<uq woshr .¾NdIh md;aùu

fojk woshr .¾NdIh md;aùu

02 jk l,dmh

.¾NdIh

.=oud¾.h

uq;%dYh

fhdaks ud¾.h

ks;r nr bis,Su;a .¾NdIh md;a ùu i|yd n,mdkjd' nr Wiq,kafka ke;s ldka;djla jqj;a nr jeä orejka ks;r ks;r jvdf.k isàu;a fï i|yd fya;= úh yelshs'

fï frda. ;;a;ajhg ;sfnk m%;sldr uq,au wjia:dfõ fhdaks ud¾.fhka .¾NdIh fyda wksla wjhjhka w;g ±fkk ld,fha§u ffjoHjrhl= yuqùu jeo.;a' fY%da‚ fmaYsj,g jHdhdï lsÍu" nr bis,Sfuka je<lSu" u<noaOh ;sfí kï thg m%;sldr lsÍu jeks foaj,a u.ska uq,§u fï ;;a;ajh iqjlr .kak mq¿jka' tfiau .¾NdIh bj;a l< miq fyda hka;ï my;g meñ‚ miq ffjoH Wmfoia u; Biag%cka wvx.= lS%ï .e,aùuo iqÿiqhs' túgo fmaYs Yla;su;a fjkjd' fndfyda úg fï ;;a;ajh we;s jkafka jhia.; ldka;djkag' tA lshkafka wjqreÿ y;<sia .Kkaj, miqjk ldka;djkaf.a jqj;a kej; orejka ye§ug wfmalaIdjla ke;akï .¾NdIh bj;alr fï frda.

ffjoHjrhd

ldka;d frda. .¾NdIh my;a ùu - ueÈúfha miqjk ldka;djkag we;s úh yels .eg¨jla .ekhs fï

;;a;ajh iqj l< yelshs' orejka n,dfmdfrd;a;= jk ldka;djlf.a kï .¾NdIh Wvg ;,a¨ lr th kshu úÈyg ;eîu isÿ lrkjd' uq;%dYh yd wfOda ud¾.h my;a fj,d kï my<g fkrd we;s fldgia ie;alï tu.ska fndfyda ÿrg ilia lrkq ,nkjd' fï frda. ;;a;ajh i|yd úúOdldrfha ie;alï ;sfnkjd' fï l=uk ie;alulska miqj jqj;a nr bis,Su" u, msg lsÍfï § ;egóï jeks oE Ôú; ld,hgu fkdl< hq;=hs' .¾NdIh ie;alulska bj;a l<;a iuyrekaf.a wfOda ud¾.h yd uq;%dYh my;a jk wjia:d ;sfnkjd' tfia jkafka by; lS wkaoug m%fõYï jqfKa ke;s úghs' iuyrekaf.a .¾NdIh bj;a fkdlr j<¨ ouk wjia:d ;sfnkjd' ie;alï lsÍug kqiqÿiq jhil isák fyda yDo frda. jeks fjk;a frda. ;sfnk whg fufia j<¨ ouk w;r fï j<¨ udi ;=fkka ;=kg udre l< hq;=hs' tfia udre fkdl<fyd;a j<¨ jfÜg uia ne£ .e,ùug fkdyels jk w;r tys ;=jd,o isÿfjkjd' .¾NdIh by; lS wdldrhg msg;g meñŒfuka miqj;a fkdi,ld yeßfhd;a tys my< fldgfia fl<jrg f,a .uka lsÍu wvqùfuka tA fldgi ;=jd, ù ÿ.|la iu. >%djhla msg jkq we;s' tjeks wjia:djl ie;alula lrkakg nE' tA ;=jd, meiùug bv we;s ksihs' uq,skau ;=jd, iqj lr bka miqjhs ie;alu isÿ lrkafka' tjeks whf.a .¾NdIh Wvg

;,a¨ lr ;djld,slj j<,a,la ±óu isÿ flfrkjd' fuys§;a j<,a, udi ;=klg jvd ;shkafk kE' tA udi ;=k we;=<; ;=jd,h iqjlr j<,a, bj;a lsÍfuka miq ie;alu isÿ l< hq;=hs' ie;alfï ixl+,;d uq;%d ud¾.hg ydks ù we;eï úg bfí uq;%d msgùu isÿúh yelshs' wfOda ud¾. fhao fujeks ;;a;ajhla we;s fjkak bv ;sfnkjd' kuq;a tAjd y÷kdf.k m%;sldr lsÍfuka miq th u.yrjd .; yelshs' .¾NdIh my;a ùu È.= ld,Skj fkdi,ld yßk úg ;=jd, we;s ù we;eï úg tAjd ms<sld njg m;a ùug mjd yelshdj ;sfnkjd' .¾NdIh my;a jQ wdldrhka ±fkk fjk;a wjia:d 1' fhdaks ud¾.fha yg .kakd f.ä my<g meñŒu" fuys§ .¾NdIh my;a jqKq wdldrhla frda.shdg ±fkkak mq¿jka' fuh iq¿ ie;alulska bj;a l< yelshs' 2' uq;%dYfha f,dl= .,a my<g meñŒu" túg;a .¾NdIh my<g msúis wdldrhla Èia fjkjd' 3' .eí f., È.= ù my<g meñŒu' tys§o .¾NdIh my;g wdmq wdldrhla ;uhs ±fkkafka' .¾NdIh my;aùfï ;;a;ajh .ek ±ka Tng ukd jegySula ,eî we;s' fuh ìh úh hq;= ;;a;ajhla fkdfõ' kuq;a fkdi<ld yeßh hq;= ;;a;ajhl=;a fkdfjhs'

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wms yefudau ,iaikg bkak leu;shs' YÍrh wdl¾YkShj ;sfnkjdg leu;shs' ta;a ;reK fmKQu /flkafk ;reK ld,fha muKhs' YÍrh yeuodu tl úosyg ,iaikg ;sfhkafk kE''' jhig hkjd' iu yelsf,kjd'''uqyqK fjkia fjkjd''' weia hg hkjd' talg ;uhs uy¿ ùu lshkafk' rEmd,xlrk ffjoH úoHdj y÷kdf.k ;sfnkjd" jhig hdu m%udo lr.kak mq¿jka lsh,''' ;reKlu os.= l,la wdrlaId lr.kak mq¿jka lsh,''' fjfiiskau wfma ldka;djka i;=gg m;a lrjk fï ;reK fmKqu /l .kakd yeá wms fï ,smsfhka úia;r lruq' wmg flfuka jhig hk úg jhia.; fmKqula ,efnkafka wehs @ wm jhia.; ùug n,mdk fya;= ms<sn|j uq,skau úuiuq' my; ldrKd YÍrh jhia.; lsÍug bjy,a fjkjd' YÍrhg úIj,ska we;sjk ydks ¥ú,a, u;ameka mdkh i;a;aj wdydr wkqNjh YÍrfha nr md,kh .s,sySu jeros wdydr-mdk udkisl wd;;sh ÿï îu ksos jEÍu wõfõ jeä ld,hla isàu jhig hk úg YÍrfha we;s jk fjkialï uQ,sl jYfhka uqyqfKA we;sjk

fjkialï jhia.; ùug m%Odk jYfhka bjy,a fjjd' tfiau YÍrfha wfkl=;a wjhj j,;a fï jhig hdfï fjkialï olskakg ,efnkjd' uqyqfKA we;s jk fjkialï uqyqK /<s jeàu uqyqK jeàu ^fuh uqyqfKA mßudj wvqùula ksid isÿ jkakls'& ifuys meyem;a .;sh wvq ù ÿ¾j¾K ùu iu nqre,a ùu fuho uqyqfKA mßudj wvqùu''' yels,Su ksid isÿ jkakls' idudkHfhka jhi wjqreÿ 16-18 ld,fha ;sfnk j;lu, jhi wjqreÿ 80 la jk úg ishhg 30lska muK mßudj .;a l< wvq ùula isÿ fõ' uqyqfKA w. m%foaYh jvd;a uy;a fõ' fï ksid uqyqK y;/ia fjhs'

oeka kùk ;dlaIKfha wkqyiska ia:dkSh jYfhka we;sjqKQ wvq¨yq`vq;djh ilia lr, fok .ukau iuia; uqyqfKA wdl¾YKh jeä lr, fok ;dreKHh Tma kxjk m%;sldrhla ;sfnkjd' th Stem Cell Fat Graft hkqfjka y÷kajkjd' kùk m%;sldr l%uhla' th ksielfhkau uqyqfKA wdl¾YKh jvjkjd' jhig hdu jvd;a blauKska isÿ jkafka ldka;djkaf.ah' thg fya;=jla ;sfí' ldka;djkaf.a YÍr.; fïo m%udKh msßñkag jvd jeäh' idudkHfhka jhi wjqreÿ 30

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rEmd,xlrk ffjoH úoHdj j; lu, iqrEmSj iqrlsk Stem Cell Fat Graft m%;sldrh

blauùu;a iu.u fï jhia.; ùfï m%mxph n,.ekafjhs' uq,skau fjkialï isÿ jkafka weia hg uq,skau isÿ jkafka weia hg .s,d neiSuhs' tfiau lg jfÜ mßudj wvqùulao isÿfõ' ta;a iu.u kdih yd;ami /,s .eiSula" /,s .eUqre ùula isÿ jkafkah' /,s ke;s whg /,s .eiSula fï ld,fha wdrïN jkakg;a mq¿jk' rjkafka ke;sj we;sjk rjk fmKqu zzn,kakfld wr .Ekq flkd wmg rjdf.k bkak yeáZZ tfyu l;d Tng;a weys, ;sfhkjd fkao@ we;eï fj,djg ta úosfy fmKqula uqyqKg wdfrdamkh jqK;a ta we;a;gu Tng rjkj fkdfjhs' ta ta whf.a uqyqfKa yeá' rjk fmKqula fï úosyg iuyrkag wdfrdamkh jkafka jhia.; ùfï m%;sM<hla úosyghs weia fol fome;af;a lmqgq ll=,a iuyreka jhig hkúg we;sjk weneoaoshla ;uhs" weia fol ueoska .eUqr jeä ùu' ta;a iu.u ta fome;a; /<s .efikjd' th Crow's Feet f,i y÷kajkjd' k<,a ;f,a /<s;a .efia we;euqkaf.a k<,a ;,h u; yria bß we;s fjkjd Tn oel we;sjdg ielhla kE' th;a jhia.; ùfï o¾YSh ,laIKhla jYfhka olajkak mq¿jka' fï úosfya jhia.; ùu;a iu.u uqyqfKA we;sjk fjkialï j,g

biair Face Lift lsh, m%;sldrhla Ndú;d jqKd' Face Lift m%;sldrh mokï jqfKA iu jhig hdug uQ,sl fya;=j iu nqre,a ùu lshk woyi u;hs' fuysos uQ,sl jYfhka isoaO fjkafk iu lmd kej; ueiSula' fuysoS ifuys mßudj jeäùula isoaO jqfKA kE' we;a;gu lshkj kï fuysoS ;sfhk mßudj;a iaj,amhla fyda wvq jqKd' fï ksid ;ekska ;ek uqyqfKA fjkialï isoaO jqKd we;a;hs' tfy;a iuia;hla jYfhka uqyqKg mshlre njla" wdl¾YKhla ,nd fokak ta l%fï fkdiu;a jqKd' oeka mshlre nj jvjk w;s kùk m%;sldrhla yenehs oeka kùk ;dlaIKfha wkqyiska ia:dkSh jYfhka we;sjqKQ wvq¨yq`vq;djh ilia lr, fok .ukau iuia; uqyqfKA wdl¾YKh jeä lr, fok ;dreKHh Tma kxjk m%;sldrhla ;sfnkjd' th Stem Cell Fat Graft hkqfjka y÷kajkjd' kùk m%;sldr l%uhla' th ksielfhkau uqyqfKA wdl¾YKh jvjkjd' iajlSh l<, ffi,u fï m%;sldrh i|yd fhdod.kakd ksid YÍrhg ksielfhkau Tfrd;a;= fokjd' f,a .ukd.ukhg ndOd lsÍula kE' Stem Cell l<, ffi, lshd;a''' l=U ffi, lshd;a y÷kajkjd' fuh ;uhs wfma YrSrfha ;sfnk úúO l%shdj,ska j,g úfYAIkh jQ úúO ffi,j, uQ,sl wdldrh' m%d:ñl wdldrh' fuu l=U ffi, .nvd fïoh - tkï YrSrh ;=< ixÑ; fïoh ;=< jvd;a jeäfhka

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;sfnkjd' ixLHd;aulj lsõfjd;a .a?ï 1 l ixÑ; fïoh ;=< l=U ffi, ñ,shkhla ú;r ;sfhkjd'

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iafgï ffi, m%;sldrfha moku wfma wdfõKsl ,laIK''' .;s mej;=ï'' fï wdoS iEu ldrKhlau ;SrKh lrkafk cdk nj Tn wy, ;sfhkjd' wfma ffi, tlla .;af;d;a tys cdk 30"000 la ú;r ;sfhkjd' fï yeu ffi,hlu ;sfnkafka wm fjkqfjkau ieliqKQ DNA wKQ' ffi, úfYAI f.dvla ;snqK;a mqoa.,fhlaf. cdk ieliqu ta mqoa.,hdg o¾YShhs' wm fï iafgï ffi, m%;sldrh mokï fj,d ;sfnkafk fldfykaj;a Khg .;a; fohlska fkdfjhs' ;ukaf.u l<, ffi,' fï ksid fï l<, ffi, myiqfjkau YrSrhg Tfrd;a;= fokjd' fï ksid wo iafgï ffi, rEmd,xlrK m%;sldrh m%;HlaI m%;sM< w;am;a lr oS ;sfnkjd' wm oeka úuiuq" uqyqfKA wxf.damdx. jhig .sh úg fï l<, ffi, ;dlaIKfhka ta jhia.; ùu wdmsg fjkia lrk wdldrh .ek'''

iuyrekaf.a ueos jhfiaoS f;d,a ;=kS fj,d lg fome;a;g jefgkjd' thska iuia; uqyqKg jhia.; iajNdjhla tl;= fjkjd' ÿlauqiq fmKqula uqyqKg wdfrdamkh flfrk fuu fodaIh yß yeá ksjeros jqfKd;a fmKqu kej;;a m%S;sodhl tlla njg m;a fjkjd' Tn okakjdo@ ;=gq mygq ye`.Sï ksrdhdifhka m%lg lsÍug ;=reKQ fmKqulg yelshdj ;sfnkjd'

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rEmd,xlrk ffjoH úoHdj j; lu, iqrEmSj iqrlsk Stem Cell Fat Graft m%;sldrh

weys neu jeàu fuysoS weys neu weia j,g md;aùula isÿ fjkjd' th uqyqKg wj,laIKla f.k tkak mq¿jka' fuysoS weys neu ;sr lsÍug iafgï ffi, kslafIAmkh lrkjd' ffi, jer.kajd t,a,d jeàu ms<silr lrkjd' f;d,a j, ;=kS ùu fuh;a jhia.; ùfïoS we;sjk wvqmdvqjla' f;d,a ;=kS fj,d lg fome;a;g jefgkjd' thska iuia; uqyqKg jhia.; iajNdjhla tl;= fjkjd' lg fome;a; fïoh ;ekam;a lsÍfuka yd mßudj jeä lsÍfuka fï wj,laIK ke;s lr.kak mq¿jks' ÿlauqiq fmKqula uqyqKg wdfrdamkh flfrk fuu fodaIh yß yeá ksjeros jqfKd;a fmKqu kej;;a m%S;sodhl tlla njg m;a fjkjd' Tn okakjdo @ ;=gq mygq ye`.Sï ksrdhdifhka m%lg lsÍug ;=reKQ fmKqulg yelshdj ;sfnkjd' fn,a, f., m%foaYfha fïo ;ekam;a fjñka ta wdY%h lr.;a /<s jeàu Double Chin kï fjhs' úhm;a ùfïoS fukau ia:q, YÍr orK úgo fï ;;a;ajh oelsh yelsh'

Stem Cell Fat Graft l=re<E j,j,a msrùugo fhdod.; yels nj fndfyda fofkla fkdokakd ldrKhla úh yels uq;a i;H kï th oekg mj;akd b;d id¾:l m%;sldrhla njhs'

fuysoS m<uqfjka jeämqr we;s fïoh bj;a lrKQ ,efí' thska iu ishhg 20la muK wvq fjhs' th m%udKj;a fkdfõ kï bka miqj l<, ffi, ;ekam;a lr tu iu h:d m%udKhg ;ekam;a flf¾'

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w,a, msg me;a; jhig hdu;a iu.u fõ.fhka wj,laIK jk ;j;a ia:dkhls" w,a, msg me;a;' fuho myiqfjka wdl¾IKSh lsrSug iafgï fi,a ;dlaIKh fhdod.; yel' l=re<E j,j,a msrùug Stem Cell Fat Graft l=re<E j,j,a msrùugo fhdod.; yels nj fndfyda fofkla fkdokakd ldrKhla úh yels uq;a i;H kï th oekg mj;akd b;d id¾:l m%;sldrhla njhs' ms<siaiSï j,oS iu ms<siaiSï j,oS iug háka fïo ia:rho ms<siaiS hhs' ms<siaiSula isÿ jQ úg iu wj,laIK ùu j<lajd tys meyem;a nj /l .ekSug Stem Cell Fat Graft m%;sldrh id¾:lj fhdod.; yels njo fuys,d i|yka l< hq;=uh' iu jvd;a meyem;a fjhs Stem Cell Fat Graft m%;sldrhla isÿ lr udi .Kkdjla hk ;=re iu b;d m%ikak;djhla iys;j osÿ,hs' úNùh jYfhka l<, ffi,j,g we;s YrSrhg Tfrd;a;= oSfï yelshdj ksidu tys lsisÿ wka;rdhlao ke;' iafgï ffi, m%;sldrfha wruqK iafgï ffi,j,ska m%Odk jYfhka flfrkafka wjqreÿ .Kkdjlg fmr uqyqfKa ;snqKQ ;reK fmKqu kej;;a ,nd .ekSug WmldÍ ùuhs' thg wu;r jYfhka fmr ;snqKdg;a jeä mshlre fmKqula uqyqKg ,ndoSug ;rï fuu iafgï ffi, m%;sldrh

m%n, fjhs' lïuq,a fm;s wdl¾YKSh f,i tiùug''' kslg jd;a;= lsÍug" hï wj,laIKla uqyqfKA fjf;d;a th ms<silr lsÍug fuu m%;sldrh myiqfjka fhdod.; yelsh' fuu m%;sldr l%shdj,sfhaoS i;shl muK iq¿ bosuqula olakg ,efnk w;r fuu ;djld,sl ;;a;ajh bkamiqj myiqfjkau u.yeÍ hkjd' bkamiqj i;sfhaoS Tn wfmalaId lrk fmKqu ,efnkjd' fuu m%;sldrfhka iqudkhlg miqj l<, ffi, ^iafgï ffi,& l%shdldß;ajh m%j¾Okh lsÍug f,ai¾ m%;sldrho isÿ lrKQ ,nkjd' bkamiqj udihlg j;djla jk fia ih uil muK ld, mßÉfPAohla uq¿,af,a isÿ lsÍfuka iu u; osÿ,k oSma;shla we;s fjkjd' os.= ld,Skj ;=reKQ fmKQu /l .ekSug Tfí j.lSu wjidk jYfhka lsj hq;af;a fuu m%;sldrh ;sridr tkï os.= l,la mj;sk tlla jQj;a wjfYAI idOlo os.= ld,Sk ;=reKQ fmKQu i|yd bjy,a jk njhs' Tn .kakd wdydr mdkdosh wm l,ska lS f,ig kSfrda.S nj we;s lrjk tajd úh hq;=hs' fjfiiskau i;;aj wdydr yd meKs ri j,ska je<lSuo kejqï t<j¿ jeäfhka wkqNjho fuys,d ;SrKd;aulhs' ta yereKQq úg ;reKQ fmKQu /l.kakg úfYAI jHdhdu ;sfnkjd' wms ta .ek;a fjk;a wjia:djl Tnj oeKqj;a lrkjd'

,nk l,dmfhka: Tfí mshhqre wdl¾YKShj iqrlsk ryia

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msßñka iqrlsk'' cSú;fha .=Kd;aul nj rlsk ffjoH mÍlaIK

Well Man Check-up wo wfma rfÜ fndfyda fofkl=g kef.k m%Yakhla fõ' mqreoaola úosyg isÿ lrk ffjoH mÍlaIK ^Medical Check-up's& wmg fl;rï jeo.;a fõo @ ljrdldrfha hym;la wm fjkqfjka isÿ lrkafkao hkakhs' ffjoH mÍlaIKhl jeo.;alu" hï mqoa.,fhla ljr ld, mrdihla ;=<oS th isÿ lr.; hq;=o hkak ta ta mqoa.,hd wkQj fjkia fjhs' tu mqoa.,hdf.a jhi" ia;%S mqreI Ndjh''' ta mqoa.,hdf.a fm!oa.,sl ffjoH b;sydih fukau mrïmrdfõ ffjoHuh b;sydiho fuu m%Yakhg ms<s;=re fiùfïoS jeo.;a jkafkah' fndfyda frda. u¾Okh i|yd fõ,dikska y÷kd.ekSu jvd;a nrm;, ixl+,;d j,ska ñoSug uQ,slu fya;=jla jkafkah' Well Man Check-up ie,iqï lr we;af;a fï wruqK fjkqfjks' oshjeähdj"

02 jk l,dmh

fldf,iagfrda,a" jl=.vq yd wlaud.; frda. y÷kd.; yels mÍlaIK fukau ms<sld ms;a;dY .,a yd jl=. vq .,a wdosh y÷kd.kakd w,ag%dijqkaâ mÍlaIK wdosh fuu mÍlaIKh ;=< wka;¾.;h' tfiau fuu w,ag%dijqkaâ mÍlaIKh msßñkaf.a mqriaÓ;s .%kaÓh úuiqugo" uq;%d r|jd.ekSfï yelshdj úuiSugo fhdod .efkhs' ldka;djka yd ixixokh lrk l<" msßñka jeä jYfhka frda. j,g k;= jk nj fmfka' Wmka od isg jDoaONdjhg m;ajk f;lau ldka;djka fi!LHuh ;¾ckhkag msßñka muKgu ,la jkafka ke' wms urKhg fya;= jk m%Odk fya;=ka foi n,uq' yDohdndO yd wxYNd. hg jvd;a k;= jkafka msßñkah' mqriaÓ;s ms<sldj fukau fmKy¿ yd wdka;%sl ms<sldj msßñka iq,nj ,lajk ms<sld fj;s' kshqfudakshdj" ;Sj% fmKy¿ wdidok wdoshgo jvd;a jeä jYfhka ,lajkafkdao fudjqkau fj;s' iuia;hla jYfhka .;a l< msßñka .eyekqkag jvd jir myla muK l,ska fuf,dj w;ayer hk nj fmfka' ixLHdf,aLK j,ska ;yjqre fõ' msßñka i|yd ffjoH ks¾foaY Tn kSfrda.S cSú;hla .; lrk msßñfhl= jQj;a Tnf.a u;= wdrlaIdj msKsi fyd| ie,eiaula we;s lr .ekSu Tng lsisÿ ydkshla isÿ lrkafka ke;' mqreIhkaf.a fi!LHhg we;s m%Odk ndOd wo fyd|ska y÷kd.;a tajdh' tfiau iq,n tajdh' jvd;a jeo.;a ldrKh''' ksis ms<shï fhÿjfyd;a j<lajd.; yels tajdh'

wdisß Y,H frdayf,a (Asiri Surgical Hospital) ia:dms; wdisß fj,akia uOHia:dkh (Wellness Centre) úfYAIfhka msßñka i|yd ie<iqï l< Well Man Check-up msßñka k;= úh yels nrm;, >kfha wdndO /ila l,ah,a we;sj y÷kdf.k Bg ksis ms<shï fhdoñka Tnf.a jákd cSú;h iqrlaIs; lsÍu i|yd lem ù isà' yDoh.; frda. wjodku fuh mqreIhkag we;s m%Odku fi!LH ;¾ckh jkafkah' fuh Atherosclerosis hkqfjka ffjoH úoHd;aulj y÷qkajhs' fuys wre; kï f,a kyr >k ùuhs' reêrh iqugj .uka lsÍug ndOd meñKSuhs' ldka;djkq;a msßñkq;a hk fomd¾Yjhu urKhg m;ajk m%uqL;u frda.h yDohdndOhs' fojk fya;=j wxYNd.hhs' fï frda. folgu ksOdk fya;=j jkafka f,a kyr fufia >klfuka jeä ù f,a .ukg ndOd meñKùuhs' yDoh.; wdndOj,oS yDofhao" fud<hg jk reêr ixirkfhao ndOd we;sjk fia fldf,iagfrda,a kyr u; ;ekam;a jkafkah' tu leá;s wia:dhS ;;a;ajhg m;ajQ úg reêr leáhla

ffjoHjrhd

Health Check msßñka iqrlsk'' cSú;fha .=Kd;aul nj rlsk ffjoH mÍlaIK

ldka;djka yd ixixokh lrk l<" msßñka jeä jYfhka frda. j,g k;= jk nj fmfka' Wmka od isg jDoaONdjhg m;ajk f;lau ldka;djka fi!LHuh ;¾ckhkag msßñka muKgu ,la jkafka ke'

we;sjk w;r th yDohdndOhla fyda wd>d;hla njg m;afõ' fldf,iagfrda,a mÍlaId lsÍu jhi wjqreÿ 25 oS wrUkak' reêr mSvkh iy fldf,iagfrda,a jeä kï tajd md,kh lsÍug mshjr .kak' Tn ÿï mdkh lrkafkla kï th k;r lrkak' jHdhdu lrkak' ta i|yd osklg úkdä 3 la ne.ska j;a i;shlg jeä osk .Kla fjka lrkak' jeä jYfhka t<j¿ yd m<;=re wdydrhg .kak' wvqfjka ix;Dma; yd g%dkaia fïoh ,nd.kak' ms<sld wjodku yels muK wvq lr.kak fmKy¿ ms<sldj fmKy¿ ms<sldj ìhlre frda.hls' fuys ìhlre nj we;af;a fõ.fhka me;sfrk ksidh' ms<sldfõ frda. ,laIK u;= fjkakg fmr iEfyk muK fjk;a ia:dk j,go me;sr hk

ksidh' tlaia f¾ m%;sìïnhlska fuu ms<sldfõ i<l=Kq olajkafkao th iEfyk muK me;sr.;a wk;=rejh' fmKy¿ ms<sld je<f|k fndfydauhla fokd jirl muK ld,hla we;=<; fuf,dj yer hkafkdah' fmKy¿ ms<sld we;sùfï m%uqL fya;=j ÿï mdkhhs' Tn ljr jhia ldKAvhl isáho ÿï mdkfhka w;a ñoSfï ;SrKh Tng ks¾Nhj .; yels kï Tn fmKy¿ ms<sldfjka ñoSfï / ljrKh ,enqjd jkafkah'

02 jk l,dmh

mqriaÓ;s ms<sldj fuh mqreIhka w;r jvd;a nyq, ms<sldj jkafkah' mqreIhkaf,a ,s`.=j msámi j,akÜ f.ähl yeve;s .%kaÓhla we;af;ah' Od;= fudapkfhaoS Bg wjYH ;r,h yefokafka fuysoSh' fuh jeäysá Ndjhg m;a jk úg .eg¿ u;= lrk .%kaÓhls' we;sjk .eg¿ w;r jvd;a wjOdkh fhduq l< hq;= jkafka mqriaÓ;s ms<sldj .ekh' msßñka iEu yh fofkl=f.ka tla wfhl=u Bg f.dÿre jk nj oelafjhs' thskau fuu ms<sldj fl;rï iq,no hkak .ek Tng wjfndaOhla ,nd.; yels jkq we;' kuq;a fuhska ñh hkafka 35 lska tla wfhls' fuu ms<sld y÷kd.ekSfï mÍlaIK folls' .a,õia oeuQ w;l we`.s,a, .=oh Tiafia oud ffjoHjreka úiska isÿ lrk Digital Rectal Exam fukau Prostate Specific Antigen - PSA kue;s reêr mÍlaIdjo weiqf¾ frda.h iïnkaO uQ,sl b`.s ,nd.; yels jkafkah' oshjeähdj fndfyda fokdg ksy`vj''' ryfia we;sjk fi!LH ;¾ckhla f,i oshjeähdj ye|skaúh yel' fï frda.h ld,hla hk ;=reu YÍrfha mj;skafka frda. ,laIK lsisjla ;ukag fkdfmkajñks' flfuka reêr.; iSks m%udKh jeä ù wjidkfha th uq;%d j,go tl;= jkafkah' wêl msmdidj yd rd;%sfha lsysm j;djla uq;%d msgùu fndfyda fofkl=g uq,skau ffjoHjrhd

fmKy¿ ms<sld we;sùfï m%uqL fya;=j ÿï mdkhhs' Tn ljr jhia ldKAvhl isáho ÿï mdkfhka w;a ñoSfï ;SrKh Tng ks¾Nhj .; yels kï Tn fmKy¿ ms<sldfjka ñoSfï /ljrKh ,enqjd jkafkah'

yuqùug hkakg isÿjk frda. ,laIKh fkdfyd;a ksñ;aa; jkafkah' reêrh ;=< wu;r jYfha tl;= jk iSks" úIldrhla jYfhka reêrjdyskS" iakdhq yd YÍrfha wfkl=;a iEu ia:dkhlu ;ekam;a úh yelaflah' fuh úYd, ixl+,;d / ilg fya;=jls' ta w;r yDohdndO" wxYNd.h" weia wkaO ùu"jl=.vq ÿ¾j, ùu" mdo j, ;=jd, we;s ù mdo lmkakg mjd isÿ ùu oel.; yel' Tnf.a jeros mqreÿ j,ska msreKQ cSjk rgdj" ;rndrej fukau udkisl wd;;sh fï ;;a;ajh jvd;a ne?reï lrhs' ojilg meh nd.hla muK" ie,eiaulg wkQj jHdhdu isÿ lsÍu fukau nr wvq lr.ekSfuka muKla w;sYh oshjeähd wjodula we;s msßñkaf.a tu wjodku ishhg 50 lska muK wvq lrhs'

ffjoHjrhd

Health Check msßñka iqrlsk'' cSú;fha .=Kd;aul nj rlsk ffjoH mÍlaIK

ojilg meh nd.hla muK" ie,eiaulg wkQj jHdhdu isÿ lsÍu fukau nr wvq lr.ekSfuka muKla w;sYh oshjeähd wjodula we;s msßñkaf.a tu wjodku ishhg 50 lska muK wvq lrhs' miq.sh jir lsysmh ;=< wfma rfÜ fnda fkdjk frda. - tkï yDohdndO" wxYNd.h" oshjeähdj" ms<sld wdosh jix.;hla fuka me;sr hkakg úh' Bg mdol jQ fya;= /ils' fkd.e,fmk wdydr-mdk" jHdhdu u| ùu" ÿï mdkh yd u;ameka mdkh yd udisl wd;;sh ta w;r fõ' ks;sm;d ffjoH mÍlaIK j,g ,laùfuka msßñfhl=g we;sjk fï wjodkï ish,a, l,afõ,d we;sj y÷kd.ekSug wk.s wjia:djla ysñ fõ' os.= ld,hla kSfrda.S nfjka hqla;j .=Kd;aul cSú;hla f.ùug Tng wjia:dj ysñ fõ'

ffjoH k;dId mSßia BSc (USA) BM (UK) MRCP (UK) FRCP (Edin) ilia lf<A Ndr; .=K;s,l wdisß fj,akia fikag¾ wdisß Y,H frday, 22" lsßuKav, udj; fld<U 5 ÿrl:k 4542818 fyda 4524400 os.=j 2603

ffjoHjrhd

Pharmacopia T!IO m%f,aLK m;%hla fu;rï lreKq wvx.= kS;suh ,shú,a,la nj Tn oek isáhdo @

T!IO m%f,aLK m;%hla fu;rï lreKq wvx.= kS;suh ,shú,a,la nj Tn oek isáhdo @ ó.uqj osia;%sla uy frdayf,a T!IOfõoS ;sirx.s w;=fldar< úisks Tn ffjoHjrfhla yuqùug .sh wjia:djla fudfyd;lg isysm;a lrkak¡ ffjoHjrhd Tfí frda.h ksÍlaIKh lr ta i|yd wod, T!IO ks¾foaY lrhs¡ tu ks¾foaYs; T!IO yd tajd Ndú;d lrk wdldrh ,shk ,o f,aLKhla Tn w;g m;a fõ¡ m%f,aLK m;%h, fnfy;a ;=kavqj, T!IO jÜfgdarej (Prescription) f,i fuh ye|skafõ¡ m%f,aLK m;%h (Prescription) hkq l=ulao@ ffjoHjrfhl= oka; ffjoHjrfhl= fyda mY= ffjoHjrfhl= úiska frda.sfhl=$frda.S i;a;ajfhl= i|yd T!IO ksl=;a lrk f,i T!IOfõosfhl=

02 jk l,dmh

fj; lrk ,o b,a,Suls¡ fuh ffjoHjrhd frda.shd yd T!IOfõoshd w;r wka;¾ iïnkaO;djhla we;s lrjk f,aLKhhs¡ m%f,aLK m;%hla ,súh yelafla ldgo@ wfma rfÜ frda.sfhl= i|yd T!IO ks¾foaY lrñka m%f,aLK m;%hla ,sùug 1927 wxl 26 orK ffjoH wd{dmk; (Medical Ordinance) hgf;a n,h ,eî we;af;a my; i|yka ldKavj,g muKs¡

ffjoHjrhdf.a f;dr;=re wvx.= ùu wksjd¾h fõ¡ ffjoHjrhdf.a ku, ,smskh, ÿrl;k wxlh, Y%S ,xld ffjoH iNdfõ ,shdmosxÑ wxlh m%f,aLK m;%fha wksjd¾hfhkau i|yka úh hq;= h¡

ffjoH wd{d mkf;a 105 mrsÉfPaofha (Chapter 105) 5 jk fldgi hgf;a ,shdmosxÑ ù we;s ffjoHjrfhl=g ffjoH wd{dmkf;a 105 mßÉfPaofha 6 jk fldgi hgf;a ,shdmosxÑ ù we;s oka; ffjoHjrfhl=g¡ 1956 wxl 46 orK mY= ffjoH wd{d mk; hgf;a ,shdmosxÑ ù we;s mY= ffjoHjrfhl=g fjk;a rgj, we;eï úg fjk;a jD;a;Sh ldKavj,go iSñ; T!IO m%udKhla frda.Ska i|yd ks¾foaY lsÍug n,h we;¡ m%f,aLK m;%hl wvx.= úh hq;= lreKq fudkjdo@ m%f,aLK m;%hl frda.shdf.a úia;r meyeos,sj igyka lsÍu b;d jeo.;a h¡ frda.shdf.a ku, ,smskh, ia;%S$mqreI Ndjh, jhi meyeos,sj igyka l< hq;= h¡ tfiau m%f,aLk m;%h ;=<

T!IO iuÕ ì,am;la b,a,d isàug Tng whs;shla we;¡ tfiau Tfí m%f,aLK m;%h T!IO fj<|ief,a kduh iys; rn¾ uqødj T!IOfõoshdf.a w;aik iys;j T!IO ksl=;a l< nj iy;sl lrk f,i b,a,d isákak¡

ffjoHjrhd

100 ffjoHjrhd

Pharmacopia T!IO m%f,aLK m;%hla fu;rï lreKq wvx.= kS;suh ,shú,a,la nj Tn oek isáhdo @

m%f,aLK m;%hla m%Odk jYfhka fldgia y;rlska hqla; fõ¡ 01¡ Superscription fuu fldgi hgf;a frda.shdg ,ndosh hq;= T!IOj, kduhka i|yka lrhs¡ fuh “Recipe” hk ,;ska jpkh ksrEmkh fõ¡ —T!IO ,nd .ekSug˜ (to take the medicine) hkak fuys w¾:h fõ¡ 02¡ Inscription fuu fldgi hgf;a frda.shdg ,ndosh hq;= T!IOj, kduhka i|yka lrhs¡ hï T!IOhla ms<sfh, lr frda.shdg ,ndosh hq;= wjia:dj,oS ta i|yd fhdod .kakd wuqøjH yd m%udKhka i|yka fjhs¡ 03¡ Subscription fuu fldgi hgf;aoS ,nd osh hq;= T!IO m%udKh, T!IO Ndú;d l, hq;= ld, iSudj ms<sn| T!IOfõoshd oekqj;a lrhs¡ 04¡ Transcription fï hgf;a T!IO Ndú;d lsÍfïoS frda.shdg ,ndosh hq;= f;dr;=re i|yka fõ¡ tla jrlg .; hq;= T!IO m%udKh, osklg T!IO ,nd.; hq;= jdr .Kk wdosh fï hgf;a úia;r fõ¡ m%f,aLK m;%hla iïnkaOj ffjoHjrhd i;= ld¾hh Ndrh l=ulao@ by; i|yka fldgia ms<sn|j wjOdkh fhduq lrñka iïmQ¾K m%f,aLK m;%hla frda.shd

w;g m;a lsÍu¡ ish¿ f;dr;=re meyeos,s w;a wl=ßka ,sùu hï wmyeos,s;djhla ms<sn|j T!IOfõoshd i|yka l< úg ta ms<sn| wjOdkh fhduq lr th meyeos,s lroSu¡

Tnf.a m%f,aLK m;%fha hï wmyeos,s;djhla fõ kï T!IOfõoshd we;eï úg Tnj kej; ffjoHjrhd fj; fhduq lrkq we;¡ tu wjia:dfõoS kej; ffjoHjrhd fj; fhduq ùfuka wmyeos,s ;djh uyrjd .ekSug T!IOfõoshdg iyh jkak¡ Tn uqyqK fok hï wmyiq;djhla fõ kï th Tnf.au wdrlaIdj i|yd nj iEu úgu is;kak¡

02 jk l,dmh

m%f,aLK m;%hla iïnkaOj T!IOfõoshd i;= ld¾h Ndrh l=ulao@ m%f,aLK m;%h wjfndaOfhka hq;=j lshjd wod, T!IO wjYH f;dr;=re iuÕ frda.shd fj; ksl=;a lsÍu¡ hï T!IOhla ms<sfh, l< hq;= kï th ksjerosj ms<sfh, lr frda.shdg ,nd oSu¡ wka;rdhlr T!IO ksl=;a lsÍfïoS wod, kS;s wkq.ukh lsÍu yd ta ms<sn| f,aLKhla mj;ajdf.k hdu¡ T!IO ksl=;a lrk m%f,aLK m;% ms<sn| f;dr;=re tl;=jla (Prescription Book) mj;ajdf.k hdu¡ T!IO fj<|ie,loS T!IO ksl=;a lsÍfïoS ksl=;a l< T!IOj, T!IO kduh iys;j ì,am;la frda.shdg ksl=;a l< hq;= w;r m%f,aLK m;%fha T!IO fj<|ief,a kduh isy;j rn¾ uqødj ;nd tys T!IOh ksl=;al< oskh yd T!IOfõoshdf.a w;aik fhoSu wksjd¾h fõ¡

wfma rfÜ frda.sfhl= i|yd T!IO ks¾foaY lrñka m%f,aLK m;%hla ,sùug 1927 wxl 26 orK ffjoH wd{dmk; (Medical Ordinance) hgf;a n,h ,eî we;af;a n,,;a jD;a;ShfõoSka fldgilg muKs¡ m%f,aLK m;%hla iïnkaOj frda.shd i;= ld¾hh Ndrh l=ulao@ ffjoHjrhd Tng ,ndÿka m%f,aLK m;%h T!IO ,nd .kakd úg T!IOfõoshd fj; bosßm;a lsÍu¡ m%f,aLK m;%h ieuúgu msßisÿj iq/lsj ;nd .ekSu fmdäjqk, breKq, m¿ÿ jqKq m%f,aLK m;%j,g T!IO ksl=;a lsÍu m%;slafIam l< yelsh¡ m%f,aLK m;%h Tn w;g m;a jQ úg ku jhi ,smskh ia;%S$mqreI Ndjh ieu úgu ksjerosj igyka ù we;soehs n,kak¡ ^tuÕska wka whl=f.a m%f,aLK m;%hla iuÕ udre ùug we;s yelshdj uÕ yefrhs¡ l=vd orejl=f.a ksjeros jhi igyka lsÍu T!IO ud;%dj ;SrKh lsÍfïoS jeo.;a fõ¡ tfiau jeros f;dr;=re igyka ùu ksid ffjoH jd¾;d ,nd .ekSfïos rlaIK wdjrK ysñlï ,nd .ekSfïoS Tnj wmyiq;djhkag ,la ùug bv we;¡&

101 ffjoHjrhd

102 ffjoHjrhd

Pharmacopia T!IO m%f,aLK m;%hla fu;rï lreKq wvx.= kS;suh ,shú,a,la nj Tn oek isáhdo @

wëlaIKh hgf;a T!IO ksl=;a lrk njg iy;sl lr .kak¡ T!IO iuÕ ì,am;la b,a,d isàug Tng whs;shla we;¡ tfiau Tfí m%f,aLK m;%h T!IO fj<|ief,a kduh iys; rn¾ uqødj T!IOfõoshdf.a w;aik iys;j T!IO ksl=;a l< nj iy;sl lrk f,i b,a,d isákak¡ hï .eg¿jloS wod, T!IO fj<|ief,ka T!IO ksl=;a l< nj ;yjqre l< yels jkafka by; lreKq iïmQ¾K jQ úg muKs¡ T!IO ksl=;a lsÍfïoS isÿjk m%udoh ms<sn| miq;eú,s fkdjkak¡ blauKska T!IO ksl=;a lrk f,i T!IOfõoshdg n, fkdlrkak¡ isÿ jk m%udoh Tnf.a wdrlaIdj i|ydu nj ieu úgu is;kak¡ T!IOfõoshd ,ndfok Wmfoia ksjerosj wid oek.kak¡ wmyeos,s hula fõ kï kej; wid meyeos,s lr.kak¡

tneúka hï fjkila we;akï ta wjia:dfõoSu ffjoHjrhd fj; bosßm;a lr ksjeros lr .kak T!IO fj<|ie<lska T!IO ñ,oS .kakd úg iEu úgu th ksis m%ñ;shg wkql+,j mj;ajd f.k hk fj<|ie,la njg ;yjqre lr .kak¡ iEu úgu T!IOfõosfhl=f.a

Tnf.a m%f,aLK m;%fha hï wmyeos,s;djhla fõ kï T!IOfõoshd we;eñsúg Tnj kej; ffjoHjrhd fj; fhduq lrkq we;¡ tu wjia:dfõoS kej; ffjoHjrhd fj; fhduq ùfuka wmyeos,s ;djh uyrjd .ekSug T!IOfõoshdg iyh jkak¡ Tn uqyqK fok hï wmyiq;djhla fõ kï th Tnf.au wdrlaIdj i|yd nj iEu úgu is;kak¡

02 jk l,dmh

103 ffjoHjrhd

104 ffjoHjrhd

Differently abled uQyQfKa yev yQrelï wkQj y÷kd.; yels wmf.a úfYaI orefjda

uQyQfKa yev yQrelï wkQj y÷kd.; yels wmf.a úfYaI orefjda

vjqkaia iy,laIKh fuh j¾Kfoay iïnkaO;d wdl+,;djhla ksid we;sjk ;;a;ajhls' idudkH ffi,hl wka;¾.; jk 21 la jk j¾Kfoay hQ.,hg wu;rj w;sf¾l j¾Kfoayhla ffi,hl kHIAÀfha we;=<;aùu fuu úhjqf,ys werUquhs' tu ksid fuu orejkag y÷kd. kakd ,o wdfõKsl ,laIK /ila fmkakQï lrk w;ru orejkaf.a j¾Ok msh uxj, ukao.dó njlao we;s lrhs' fuu ;;a;ajh idudkHfhka ore Wm;a 800 lska 1 lg oelsh yelsfõ' tfiau fuh ujf.a fyda mshdf.a jroska isÿjQjlao fkdfõ' kuq;a f,a {d;s újdy fya;=fldg f.k j¾Kfoay wvq¨yq`vq;d we;s ùfï bvlvla mj;S'

02 jk l,dmh

105 ffjoHjrhd

106 ffjoHjrhd

Differently abled uQyQfKa yev yQrelï wkQj y÷kd.; yels wmf.a úfYaI orefjda

fujeks ;;a;ajhla we;s ùug .¾NKS wjia:dfõoS we;sjk frda.S ;;a;ajhla" udkisl mSvkh fyda T!IO fyda fyda fya;= fkdfõ' kuQ;a ujf.a jhi uQyQl=rd hEu;a iu. vjQka iskafv%duh iys; orejka ìysùfï m%jK;djhla we;' orefjl=g vjQka iskafv%dauh we;s nj ;yjQre l< yelafla flfiao@ ldhsl ,laIK mrSlaIKhlg ,la lsrSfuka j¾Kfoay iïnkaOj f,a mrSlaIKh lsrSfuka fuu j¾Kfoay mrSlaIKh ñ, wêl neúka th yfudagu lsrSug t;rï wkQn, oSula lrkafka ke;' kuQ;a ;reK hQj,lg fuu mrSlaIKh lsrSfuka tu .eg¿j úi|df.k bosrshg hEfï yelshdj we;'

frda.fha iajNdjh fuh fnfy;a oSfuka iqj l< yels frda.hla fkdfõ' orejkaf.a cdk ixfhdackfha we;sjk fjkialula fya;=fjka yg .kakd jQ iy,laIKhla fkdfyd;a frda. iuqodhls' fuu orejkaf.a ls%hdldrS yd jHQyd;aul fjkialï we;súh yel tu fjkiaùï fya;=fjka yg .kakd frda.S ;;a;ajhkag m%;sldr l< hQ;=h' fuu orejkag bf.kSug yelso@ Tõ''' kuQ;a idudkH ;;a;ajfha orejl=g jvd wvQ fõ.hlska yd tu orejdf.a nQoaê uÜgu wkQj bf.k .ekSfï fõ.h ;SrKh lrkQ ,nhs' jvd;a meyeos,s lf<d;a fuu

02 jk l,dmh

yelshdjka orejdf.ka orejdg fjkia fõ' fuu ;;a;ajfha orejka fofokl= mjd idudkH f,i ie<lSu iqÿiq fkdfõ' ukao''' idudkH orejkaf.ao tla tla tla orejkaf.a yelshdjka wiudk jk neúks'

;jo fuu orejkag tlu l%shdldrlu fjkia wdldr yd l%u Ndú;fhka yd isÿ lrk jdr .Kk jeä lsrSfuka bf.kSug we;s yelshdj jeä fõ' vjqkaia orejf.a iqúfYAIS ,laIK ldhsl iqúfYAI;d wiaÓ j, widukH yevh iy msysàu ;=kS iDcQ ysiflia w;af,a iDcQ f¾Ldjka j, widudkH msysàu osj uQLhg idfmalaIj úYd, ùu Wiska wvQ ùu

fï yd ine|S frda.S ;;a;ajhka fudkjdo@ yDo frda. l=vdka;%fha isg uydka;%h olajd wdydr .uka lsrSug we;sjk ndOd jl=.vQj, jHQyuh m%Yak iuyr frda.S ;;a;ajhka Wm;ska miQj <ud úfhaoSu fkdfhl=;a wjêj, u;= úh yel' fï ksid ffjoH Wmfoia wkQj kshñ; mrSlaIK j,g orejd fhduQ lrjkak ;jo ;hsfrdlaiska W!K;djh Y%jK W!K;djh oDIaGS W!K;djh reêrh wdY%s; ms<sld" ,shQflañhd we;sùfï m%jK;djhla mj;S' fï orejka j¾OkSh ux i<l=Kq m%udo lrkafka wehs @ udxY fmaYSkaf.a ÿn,;d iunr;djh rel .ekSfï wmyiQ;djh nQoaê uÜgu wvQlu Y%jK W!K;d oDIAÀ W!K;d orejdf.a ;;a;ajh jgyd .;a miQ uõmshka l< hQ;af;a l=ulao@ fuu orejka Wfoidu mj;ajk <ore mx;s ioyd fhduQ ùu orejd yd uj fofokdu Bg iyNd.s úh hQ;= fõ' fujeks orejkag l< hQ;= l%shdldrlï ms<sn|j ,nk wjfndaOfhka ujgo ukd f,i orejd /ln,d .ekSug yelshdj ,efí'

107 ffjoHjrhd

108 ffjoHjrhd

Differently abled uQyQfKa yev yQrelï wkQj y÷kd.; yels wmf.a úfYaI orefjda

ffjoH .eg¿j,g wjYH ms<shï fhoSu yDoh wdndO fjf;d;a tajd Wmf;aoS y÷kd .ekSug iy bkamiQ wjYH mrsos ms<shï fhoSu ;hsfrdlaiska W!K;djh i;s 2 iy jd¾Islj isÿ lsÍu Y%jK ÿ¾j,;d Wmf;aoS iy udi 6 oS bka miQ jd¾Islj wlaIs mÍlaIK Wmf;aoS iy udi 6 os bka jd¾Islj jydu ffjoH wëlaIKhg ,la l< hq;= ;;a;aj wêl fõ.fhka yQiau .ekSu" lsrS îug wleue;slu" ysig oyosh oeóu" ks,a meyeùu - yDo frda. wêl lïue<s nj u<noaOh ;hsfrdlaiska W!K;djh iQÿue,s nj" ue<slu" WK" we`.m; reodj" reêr wdndO - ksrla;sh" ,shQflañhdj wOHdmk lghQ;= j,oS Wkkaÿj wvQ ùu" mx;sfha wjOdkh wvQùu - Y%jK wdndO" oDIaGS wdndO" ;hsfrdlaiska uo ùu

fuu orejkaf.a fouõmshkag úfYAI Wmfoia orejd wk;=re j,ska wdrlaId lsrSug úfAYI mshjr .kak orejdg fjfik mrsirh ;=< ksoyfia bf.k .ekSug wjia:djka ,ndfokak orejdg iQÿiQ wOHdmk lghQ;= j, ksis jhig fmr iQodkï lr orejd mQyQKQ lrjkak orejdg nQoaê j¾Okh NdIdj j¾Okh" pd,l l%shd j¾Okh" oDIaGS j¾Okh i|yd orejd mQyQKQ lrjkak' fujeks ;;a;ajfha orefjl= isgsk uõmshkS" orejdg by; wdldrfha u. fmkaùï ioyd orejd iïm;a uOHia:dk i|yd fhduQ ù Tfí orejdg iajdëk orefjl= f,i iudcfha cSj;a ùug yelshdj ;sfí' Tyqg tu wjia:dj Wod lrfokak'

Wmfoia yd fhduQùï wdYd os,arelaIs fmf¾rd úfYaI wOHdmk Ñls;ail yd WmfoaYk ks,Odrsks r;au,dk wkaO ìysrs úoHd,hg wkQnoaê; ´äfhdaf,dcs wdh;kh

02 jk l,dmh

109 ffjoHjrhd

110 ffjoHjrhd

ldka;d frda. ldka;djka ;=< iq,n frda.hla jk tkafvdfuá%fhdaisia

Endomertiosis ldka;djka ;=< iq,n frda.hla jk tkafvdfuá%fhdaisia Wmfoia ol=Kq fld<U ^l¿fndaú,& YsCIK frdayf,a m%ij yd kdßfõo úfYaI{ ffjoH Oïñl is,ajd ldka;djka yg ldhsl tlaùïj,§ wêl fõokdjla we;s lrúh yels frda. ;;a;ajhla .ek wo wms l;d lruq' tkafvdfuá%fhdaisia frda.h - ye|skaùu fuh uE; ld,fha b;d nyq,j olskakg ,efnk frda. ;;a;ajhls' wdydrj, ridhk øjH jeäùu" mßir ¥IKh jeks lreKq u; fï frda.h jeä ù we;s njg wkqudkhla we;' kuq;a fï ldrKd lsisjla ksYaÑ; jYfhkau ;yjqre ù we;s ;;a;ajhla fkdfõ' tkafvdfuá%hï hkq .¾NdIh ;=< we;s ffi, iaÓrhhs' fuu.ska .¾NdIh ;=< we;s >k;ajh jeä flf¾' Tima ùfï§ bj;a jkafka fufia >k;ajh jeä jQ fldgiah' tkafv%dfuá%fhdaisia hkq''' fuu we;=,a ia:rfha ;sfnk mgl .¾NdIfhka msg fY%da‚fha fukau YÍrhg fjk;a fld;ekl fyda fï mgl msysáfhd;a Tima ùfï§ tA ´kEu ia:dkhlskao reêrh msg jkq we;' kuq;a fndfyda úgu fufia .¾NdIfhka msg; mgl msysgkafka äïnfldaIj," mef,damSh kd, wjg" fY%da‚h" uyd wka;%h" uq;%dYh wdYs%; m%foaYh jeks ia:dkj,h' fujeks ;;a;ajhl§ Tima Èkj,g tu ia:dkj,skao reêrh msg jkq we;' .¾NdIh we;=f,a we;s mglj,ska yer wksla ia:dk j, we;s mglj,ska reêrh msgjk úg tAjd msgg .,d hdug l%uhla ke;' túg reêrh t;eku ;ekam;a fõ' fï ksid f,a f.ä iEfohs' äïnfldaIj, yefok fujeks f,a f.ä tkafvdfuá%fhdaud (endomertioma) fyj;a fpdl,Ü isiaÜ (chocolate cyst) f,iska y÷kajhs' fpdl,Ü isiaÜ f,i fïjd kï flfrkafka f,a mrK jQ úg fpdl,Ü meyeh .kakd ksidh'

02 jk l,dmh

tkafvdfuá%fhdaisia mef,damSh kd,h

äïnfldaIh .¾NdIh tkafvdfuá%hu

tkafvdfuá%fhdaisia

tkafv%fuá%fhdaisia yg.;a úg .¾NdIh" uyd wka;%h" fhdaks ud¾.fha by< fldgi" uq;%dYh" mef,damSh kd, iy l=vd wka;%h hk fïjd fY%da‚h ;=< f.ähla fuka we,S isákq we;' fï ksid yg .kakd m%Odk .eg¨jla jkafka uoireNdjhhs' tfiau Tima ùfï§ wêl lelal=ula yg .kq we;' Tima ke;s Èkj,;a lelal=u mj;shs' (pelvic pain) ldhsl iïnkaO;dj,§;a ;on, fõokdjla ±fkkq we;' (deep dyspareunia) tkafvdfuá%fhdaisia i|yd m%;sldr lelal=ug muKla m%;sldr (NSAID) §u uq,au m%;slfdrhhs' kuq;a fuh ;djld,sl l%uhls'

tkafv%dfuá%fhdaisia frda. ,laIK Worfha fõokdj fY%daKs fmfofia we;sjk fõokdj - fjfiiskau Tima wdrïNfhaoS yd wjidkfha we;sjk fõokdj msgfldkao yd l,jd wdY%s;j we;sjk ishqï lelal=ï nfâ msmqKQ .;sh''' fõokdj ,sx.slj tlaùu fõokdldÍ ùu fõokdldÍ Tima ùu wúêu;a Tima ùu m%udo ù Tima ùu YÍr nr jeä ùu

111 ffjoHjrhd

112 ffjoHjrhd

ldka;d frda. ldka;djka ;=< iq,n frda.hla jk tkafvdfuá%fhdaisia

äïnfldaIh .=oh .¾NdIh uq;%dYh

tkafvdfuá%fhdaisia we;s ù we;s iq,n ia:dk fuys r;= meyefhka i<l=Kq lr we;

uoireNdjhg fï frdA.h w; jkkjd fojekak úúO l%uj,ska Tima ùu wvq lsÍu fyda ke;s lsÍuhs' úfYaIfhka Wm;a md,k fm;s Ndú;h" fm%dfciagfrdaka fydafudak fm;s Ndú;h fiau (L.N.C.I.U.S.) hk ma,diaála fldhs,a Ndú;ho fuys§ isÿ l< yelshs' fujeks l%u u.ska Tima ùu wvq lsÍugo mq¿jk' fuhskq;a m%;sM,hla ke;akï úfYaIfhka fpdl,Ü isiaÜ we;s úg ie;alula lsÍug isÿfõ' jvd;a iqÿiq th by; lS mßÈ ,emfrdiafldms ud¾.fhka lsÍuh' fuu.ska b;du ishqï mgl mjd úYd, lr n,d

.ekSug yels ksid th jvd;a id¾:l l%uh fõ' fuu ie;alu y÷kajkafka (laparoscopy cystectomy) f,isks' fydafudak u.ska l%shdldÍ jk frda.h .¾NdIfhka msg we;s mgl lmd fyda mq¿iaid bj;a lsÍuo ie;alula u.ska l< yelsh' kuq;a wmg fkdfmfkk b;d ishqï ffi, u.ska kej; kej;;a fuu frda.h yg .ekSfï yelshdj mj;S' fuu tkafvdfuá%fhdaisia ls%hdldÍ jkafka fydafudak u.sks' wd¾;jyrKfha§ fuu fydafudakj, ls%hdldÍ;ajh wvq fõ' túg tkafvdfuá%fhdaisia ;;a;ajh wvqù

02 jk l,dmh

jïmi äïnfldaIfha msmsÍug ,lajQ fpdla,Ü isiaÜ tll tkaviafldms o¾Ykhla

hkq we;' tA olajd fïjd meje;Sug fndfyda úg yelshdj ;sfí' tkafvdfuá%fhdaisia yd fpdla,Ü isiaÜ iEu j¾IhloSu f,dalh mqrd ,laI ixLHd; ldka;djka tkafvdfuá%fhdaisia frda.hg k;= fj;s' fuh fl;rï iq,no h;a iEu ldka;djka ishhlgu 5-10 w;r ixLHdjla cSú;fha ljr jljdkqjloS fyda tkafvdfuáfhdaisia frda.hg k;= fõ hhs oelafõ' jeä m%udKhlg fï frda.h yg .kafka jï me;af;ah' tkafvdfuá%hdj ksid yg.kakd uq,a jHqyh miqj fldaIaGhla njg m;a fjhs' fuu fldaIaG j, l%shdldß;ajhg udisl wd¾;jfha ióm iïnkaOhla mj;S'

fpdla,Ü isiaÜ hkqfjka ye|skafjk .¾NdIfhka msg; we;sjk fldaIAG hdno bkaøsh flfrySo n,mj;ajk w;r fõokdjla we;s lsÍug fya;= úh yelsh' h,s h,s;a we;s ùfï bvlv fï tkafvdfuá%fhdaisia j, ;j;a wjmi ,laIKhls' fuu f.ä ms<sld njg m;ajk wjia:d úr,h' fjfiiskau jhi wjqreÿ 40g wvq ldka;djkag we;sjk tkafvdfuá%fhdaisia tjka ms<sld njg m;a jkafka b;d l,d;=rlsks' dermoid ovarian cyst yd corpus luteum cyst hk fldaIAG ksis ms<shï fkdfhÿfjd;amiqj ms<sldjla njg m;a ùfï bvla ;sfnk nj mjikafka mQ¾j WmfoaYhla jYfhks' Source: St.michael Hospital Web site

113 ffjoHjrhd

114 ffjoHjrhd

History of the Medicine Sri Lanka ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá

ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá - 02

fld<U ffjoH úoHd,fha b;sydih

fld<U úYaj úoHd,hSh ffjoH mSGh furg wef,dam;sl ffjoHjreka ìys lsÍfï merKs;u wdh;khhs' furg ffjoH úoHd, wOHdmkfha ;sôß f.hhs' ffjoH wOHdmkfha u;= fkdj furg ck;djg ngysr fjolu ckm%sh lrùfuys,d o mqfrda.dó ld¾hhla bgq l< fld<U ffjo mSGfha jxY l;dj ,sms fmf<ys fojk os. yereu fï iu. bosßm;a flf¾' fï i|yd wm wkq.%y lr.kafka wfma rfÜ ffjoH b;sydih .fõIKfhys,d uy;a ld¾h Ndrhla bgq l< <h frda. úfYAI{ ffjoH cS'iS' W!rdf.dv úh;=ka mkaysf|a igykah' fld,Scshla njg Wiia fjhs 1880 fld<U fuäl,a mdi, fld,Scshla njg Wiia jQ j¾Ihhs' Bg fya;= jQfha ffjoH lsxisf. ks¾foaYhls' tu ks¾foaYh m%ldrj jevn,k Y%S ,xld wdKavqfõ wdKavqldr;=ud jQ Y%Su;a fcdaka v.a,ia úiska ffjoH mdi, Wiia fld,Scshla ;;a;ajhg m;a lrKQ ,enQ w;r tjla mgka zzisf,daka fuäl,a fld,ScshZZ f,i

02 jk l,dmh

kuo fjkia úh' 1887 oS fld,Scsfha m%Odkdpd¾h yd fld,Scs f,alïOQrh oerE uy;dKka úiska PCMO fkdfyd;a m%Odk isú,a ffjoHurhd fj; okajd isáfha fld,Scsh GMC ;;a;ajh wfmalaId lrk njhs' LMS ämaf,daudfjka MBBS Wmdêhg iqÿiqlï Wiia fjhs tjlg ffjoH fld,Scsh oerE lS¾;sh yd hfYdardjho ie<ls,a,g .ksñka fuys wjidk úNd.fhka ,nk iqÿiqlï Diploma of Licentiate of Medicine & Surgery (LMS) tkï ämaf,daud ;;a;ajhg Wiia lrKQ ,eîh' tfiau 1886 - 16 mrsYsIAGh kï ì%%;dkH lsrSgfha mk; wkQj fuu wdh;kfhka wjidk Wmdêh iu;a jk whj¿kaf.a kdu f,aLKh hg;a úcs; ffjoH f,aLKhg we;=<;a lr.kakd ,oS' fï wkQj l<ïnq ffjoH fld,Scsh iajlSh m%drïNl ffjoH úoHd,h hk kñka .e,ù iïmQ¾K mßph iys; ffjoHjreka ìys lrk ffjoH úoHHd,hla f,i tjla mgka nyqudkhg ,laúh' fkdfyd;a ,hsIkaisfhaÜ ;;a;ajfhka MBBS ;;a;ajhg iqÿiqlu mßj¾;kh jQfha 1942 oSh' 1870 oS l<ïnq fuäl,a ial+,a wdrïN lrk ,o jljdkqfõoS mej;sfha wjqreÿ ;=kl mdGud,djls' th 1873 oS isõ wjqreÿ mdGud,djla jYfhka jeä oshqKq lrk ,o w;r th mia wjqreÿ mdGud,djla njg m;a flrefKa 1884 oSh'

fld<U uydfrda.HYdf,dfõu tf;la mj;ajdf.k wd l<ïnq fuäl,a fld,Scsh wo th msysà ia:dkhg f.k .sfha 1875 oSh' Bg fya;= jQfha ieïika ä wdnD úfca.=Kr;ak rdcmlaI kï ol=Kq,l m%N+jrfhl= úiska lrkakg fhÿKQ N+ñ mß;Hd.hls'

uq,skau mdGud,d ie,iqï lr ;snqfKa jd¾Islj imqrd,sh hq;= jevigykla jYfhks' th hQfrdamfhao mej;S l%uh jQ w;r jd¾Isl jevigyk .%Siau jdrh yd YS; jdrh f,i folg fnod ;snqKs' uehs m<uqfjksod isg cq,s m<uqfjksod olajd jQ flá jdrh .%Siau jdrhg wh;a jQ w;r Tlaf;dan¾ m<uqfjksod isg ud¾;= 31 olajd oS¾> jdrh YS; jdrhg wh;a jqKs' fuu iD;= uQ,sl lr.;a fnoSu ienúkau Y%S ,xldj jeks ksj¾;k l,dmSh rglg lsisfia;au .e,mSula fkdue;s uq;a wêrdcHjdoS Ndú;hka thdldrfhka wkaOdkqlrkhg ,laùu ;;ald,Skj ksiel Ndú;djlau úh' idhksl wNHdi wdrïN fjhs ffjoHjrfhl= ìys lsÍfï oS idhksl wNHdi j, we;af;a wmßñ; jákdluls' tfy;a 1875 fkdjeïn¾ ui m<uqfjksod jk f;la fuu ffjoH welvñfha idhksl wjYH;djhka ms<sn|j mej;sfha nrm;, fkdi<ld yeÍuls' by; lS

115 ffjoHjrhd

116 ffjoHjrhd

History of the Medicine Sri Lanka ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá

uydpd¾h Tiauka ys,a uydpd¾h Tiauka ys,a fld<U ffjoH mdif,a fiajh l< lS¾;su;a wdpd¾hjrfhls' 19301944 ld,mßPAfPAoh ;=< ldh jHÉfPAoh (Anatomy) wxYfha uydpd¾h OQrh Wiq,k ,oafoa fu;=uka úisks'ì%;dkH cd;slfhl= jQ Tyq m%lgj isáfha m%sudgdjka ms<sn|j 20 jk Y;j¾Ifha isá fY%aIaG;u m¾fhaIlhd jYfhks' m%sudgdjka hkq ljqrekao @ Tn;a ud;a we;=¿j'' uy u. le,E frdoj,oS wmg úß;a;k j÷rka Ñïmkaishkao"f.daß,a,ka''' fï wdoS wm ish,a,kau wh;a jk tla i;a;aj l=,lhla fõ kï ta m%sudgdjkah' uydpd¾h Tiauka ys,a fudjqka .ek úi,a wOHhkhl ksr; úh' ta jk úg mej;S m%sudgdjka ms<sn|j ish¿u oeKQu tla;eka l< fudyq Wka p¾hdjka iïnkaOfhka fukau fjk;a fndfyda úoHd;aul ldrKd iïkaOfhkao m¾fhaIK lf<Ah' wjidkfha Tyq úiska iïmdokh lrk ,o fj¿ï wglska hqla; Primates: Comparative Anatomy and Taxonomy kï lD;sh uq¿ uy;a f,dalfhau we.hSug ,la úh' fuys Ñ;% lrjk ,oafoa t;=uka m%sh ìß| hq´ka úisks' j;auka Ydka; ì%cÜ lkHdrduhg hdno Hurst Green kï úi,a ukaosrhl Tyq jdih lrk ,o w;r tys f.j;af;a l+vq j, j÷rka" ÑïmkaiSka .ejiS .;af;ah' fï m%didoh mkia .Kkaj,oS lvd bj;a lrk ,oS'

oskfha isg idhksl wNHdi úêu;a lrk ,o w;r tu ;;a;ajh 1885 oS jvd;a úêu;a úh' f;jk yd isõjk jir YsIHhka i|yd ffjoH yd Yd,l hk jdÜgqj, frda.Ska mÍlaId lsÍu wksjd¾h flreKs' 1879 oS fidhsid ,hska bka fydaï ^ud;D& wdfrda. HYd,dj wdrïN lsÍfuka miqj tyso frda.Ska mÍlaId lsÍfï myiqlï ffjoH YsIHhkg ,nd fok ,oS'

ffjoH úoHd,hg bvlvï mß;Hd. l< ol=Kq,l odkm;shd fld<U uydfrda.HYdf,dfõu tf;la mj;ajdf.k wd l<ïnq fuäl,a fld,Scsh wo th msysà ia:dkhg f.k .sfha 1875 oSh' Bg fya;= jQfha ieïika ä wdnD úfca.=Kr;ak rdcmlaI kï ol=Kq,l m%N+jrfhl= úiska lrkakg fhÿKQ N+ñ mß;Hd.hls' uqo,sjrfhl= jQ ieïika ä wdnD úfca.=Kr;ak

02 jk l,dmh

rdcmlaI ue;s÷ka Wmka.u je,súgh' fyf;u jxilaldr ckm%Odks mjq,lska mej; wd flfkl=ka jQ w;r úYd, fmd,a yd l=re÷ j;= ixLHdjla m%fõKsh lr.;af;ah' Tyq rfÜ wOHdmkh k.d isgqùfuys,d fjfiia iïudoula cd;shg ,ndÿka W;=fuls' furg iEu mdi,lu mdfya YsIH;aj ;Hd. ,ndoSug t;=uka l%shd lf<Ah' iïnqoaO Ydikfha ÑriaÓ;sh fjkqfjkao ;;a ieïika ä wdnD úfca.=Kr;ak rdcmlaI uqo,s;=uka úYd, lemùula lrk ,oS'

l<ïnq fuäl,a ial+,a 1870 oS wdrïN l< miq uq,skau YsIHhska 25la we;=<;a jQ kuqÿ f;jk j¾Ih wjidk úNd. hg uqyqK ÿkafka YsIHhka 12 fofkla muKs' thskq;a úNd.h iu;a jQfha yh fofkls'

wNskj ffjoH úoHd,fha f.dvke.s,s ie,iqï lrk ,oafoa *a?kala jhska kï uyf;ls' rcfha jev fomd¾;fïka;=fõ m<d;a iyldr Oqrh Tyq tjlg fyneùh' tjlg fuu ffjoH úoHd,h mej;S N+ñNd.h iy f.dvke.s,s ms<sn|j wmQ¾j igykla fâúâ f;dauia MD FRCP úiska ,shd ;nk ,oS' tys fufia i|yka fjhs' zzffjoH úoHd,h msysáfha fmd,a iy úúO rEiai .ia j,ska iukaú; N+ñ Nd.hlh' foaYK Yd,djlskao"

uydpd¾h f.da¾âka iañ;a 1927-1929 ld,h ;=< fld<U ffjoH mdif,a ldhjHÉfPaoh uydpd¾hjrhd jYfhka fiajh lf<Ah' ridhd.drhlska iy fl!;=ld.drhlskao úoHd,h iukaú; úh'ZZ wdiksla W.% úI fhdodf.k uD; YÍr lemQ ld,h jHÉfPaokh i|yd uD;lf,anr ,nd .ekSug t;rï wmyiqjla fkdjQ nj fâúâ f;dauia uy;d m%ldY lrhs' uD;lf,anr l,a mj;ajd .ekSu msKsi f*dau,ska Ndú;hla fkd;snQ tl, fï ld¾hh bgq lr.;af;a wdiksla W.% úI fhdodf.kh' idudkHfhka uD;lf,anrhla meh 48lg jvd ;nd.ekSula isÿ fkdúk'

117 ffjoHjrhd

118 ffjoHjrhd

History of the Medicine Sri Lanka ffjoH úoHd jxY l;dj furg ngysr ffjoH wOHdmkhg w;a;sjdru oeuqKQ yeá

;sfí' kï

ffjoH lskais PCMO ;k;=r;a ffjoH úoHd,fha mßmd,k m%Odk ;k;=r;a wjqreÿ 22la uq¿,af,au bis,Sh' fï jvd;au lemùfuka lghq;= l< hq;= hq.fhaoS ffjoH úoHd,fha m%Odkdpd¾h OQrh fynjQ jekaviag%dgka uy;df.ka Tyqg wkqmfïh msgqjy,la" Wmldrhla ,enqfKAh' tys m%;sM<hla jQfhA Tjqkaf.a fiajd ld,h wjika jk úg ffjoH úoHd,h c.;a;,fha lS¾;sOr ffjoHjreka ìys lrk wdh;khla njg m;a ùuhs' wdKavqldrjrhdf.a mdr ffjoHjrhd kug ffjoH lsxis úY%du hk úg fld<U f,dxvka fmfoi zzlsxis fmfoiZZ f,i kï lrKQ ,enQfha Tyq úiska isÿ lrk ,o wmßñ; jQ fiajhg f.!rjhla jYfhks' fuu lsxis mdrg wog;a udhsï jkafka rfÜ m%Odk;u ffjoH wdh;khhs' Y%s ,xldfõ cd;sl frday,hs' tfiau fï rfÜ wkNsNjkSh ffjoH úoHd,hhs' ;j;a ldrKhla i|yka l< hq;=j

lsxis mdr f,i ;eîug fmr tu mdr ye|skajQfha f,dxvka fmfoi hkqfjks' ta 1877-1883 ld,fha wfma rg md,kh l< ,lsiqre Y%Su;a fcañia f,dxvka isysm;a lsÍu fjkqfjks' ffjoH lsxis hkq ,lsiqrejrhdf.a hg;a fiajlfhls' ta flfia fj;;a wfma rfÜ frda.Ska fjkqfjka''' ffjoH wOHdmkh fjkqfjka buy;a fiajdjla bgql< ffjoH lsxis fjkqfjka fï udj; kï ùu fl;rï kï jákd mshjrlao @ l<ïnq fuäl,a ial+,a 1870 oS wdrïN l< miq uq,skau YsIHhska 25la we;=<;a jQ kuqÿ f;jk j¾Ih wjidk úNd. hg uqyqK ÿkafka YsIHhka 12 fofkla muKs' thskq;a úNd.h iu;a jQfha yh fofkls' tâúka iS fmf¾rd" wd¾'iS'we,avkaia" tia jhs;s,sx.ï" tÉ'ta'ms,smaia" B'tka'fIdlauka iy mS T,ïia uq,skau idud¾:h ord ffjoHjreka jYfhka iqÿiqlï ,enQjkah' uq,a j¾I yh ;=< iqÿiqlï ,enQfha 18 fofkla muKs' fï whf.ka 16 fofkla ,xldKavqfõ fiajhg tl;= jQ w;r tla wfhla j;= flafIa;%fha rdcldßj,g tla jQ w;r b;sß ffjoHjrhd jeäÿr wOHdmkh i|yd tx.,ka;hg msg;a úh'

02 jk l,dmh

119 ffjoHjrhd

120 ffjoHjrhd

bmerKs fy< iQm jÜfgdare wfma bmerKs uia weUqu fyj;a fidfiacia

oehl mE úl=uka''' bmerKs fy< fndcqka'''

wfma bmerKs uia weUqu fyj;a fidfiacia fodf,dia jeks fldgi

ymq;f,a tia' tï' ã' fifkúr;ak úisks

jir ish oyia .Kkla ;siafia fï l=vd osjhsfka yeoS jevqKq isxy,hd ;u wdydr rgdj mßirh wkqj ilid.;a w;r tu wdydr msiSfïoS fkdfhl=;a ri" meyeh yd yevh wdoS jYfhka fjkialï lsÍug o Wkkaÿ úh¡ osfkka osk ;uka nqosk wdydrh ;j ;j;a jeä oshqKq lsÍug fm<eUqkq isxy,fhda uia msiSfïoS o kj uxfm;a" biõ fidhd .shy¡

02 jk l,dmh

tod ms<sfh, jQ ri .=K wkQk uia weUqu kQ;kfha b;d oshqKq wdydr ;dlaIKhla jk fifiacia tod wfma me/kafkda o ms<sfh, lsÍug oek isáhy¡ wo wfma ksfjiaj, .DyKshka nyq cd;sl iud.ï uÕska ksIamdokh fldg fnod yßk fidfiacia ñ, oSf.k f.or msi .;a;o wfma me/ kafkda ;u ksjfiaoSu fidfiacia msi .;ay¡ th kejqï jQ w;r ishhg ishhlau uiska msreKq wjHdc msiqula úh¡ lD;%su ri, j¾K wdosfhka f;dr jQ wfma uia weUqu fyj;a fidfiacia ieneúka u b;du wdrlaIs; jQ fmdaIKSh jQ o wdydrh ls¡ uykqjr rc f.or iQm Ydia;% fmdf;ys uia weUqu úi;r lr we;af;a fufiah¡ jïngq f,ig uia wUd msisk wuq uqx fmd;= yer isksÿj jegQ fuf,iu weUQ uia ißj weUrE wifudao.ï oS wuq jhs;s .;a

l, l, l, l,

jïfndgq f,i uia wUd msiSug jqjuKd jQ l<" fmd;= wer wuq uqx isksÿj wUrd ta m%udKhg u wuq uia f.k wUrd wifudao.ï yd wuq jhs;s o oud''' ¨kq;a lid ,d jrosh llshjï k ngq f.ä tys isgqjd ,d tnqKq ;e k ;snQ uia W÷ lr<s fldgd brd ;nñ k Wïn, uia oeuQ m;a lv wUj ñ k

¨kq lid ,d jhs;s oud ilia l< osh fyj;a jr osh llshjd ¿ ueo ngq f.ä ;nd tnqkq ;eka j, W÷ ler<s fia ilia l, uia ,d Wïn, uia oeuQ

flfi,a m;l wl=,d jKavqfõ ;ïnd .kak¡ fuh kQ;k fidfiacia j, wdosu iajrEmh f,i ie<lsh yelsh¡ ngq f.ä fyda fjk;a yev;, wkqj uia j,ska weUq rE fufia ilid .;a l, tys m%sh ukdm fmkqula fukau fidfiacia jeks rihla o we;s fõ¡

fuh kQ;k fidfiacia j, wdosu iajrEmh f,i ie<lsh yelsh¡ ngq f.ä fyda fjk;a yev;, wkqj uia j,ska weUq rE fufia ilid .;a l, tys m%sh ukdm fmkqula fukau fidfiacia jeks rihla o we;s fõ¡ kQ;k ;dlaIKh uÕska fkdfhl=;a úI ridhksl øjH fhdoñka l,a bl=;a jQ mßfNdackhg kqiqÿiq uia j,ska ;kk ,o fidfiacia j¾. yd ii|k úg fuh yeu w;skau Ndú;hg iqÿiqh¡

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122 ffjoHjrhd

bmerKs fy< iQm jÜfgdare wfma bmerKs uia weUqu fyj;a fidfiacia

kQ;k ;dlaIKh uÕska fkdfhl=;a úI ridhksl øjH fhdoñka l,a bl=;a jQ mßfNdackhg kqiqÿiq uia j,ska ;kk ,o fidfiacia j¾. yd ii|k úg fuh yeu w;skau Ndú;hg iqÿiqh¡ wfma me/kakka wkqNj l< fuu uia weUjqu h,s Ndú;hg .kafka kï wo ld,fha fj<|m<ska f.k nqosk uia weUqfuka we;sjk úúO fi!LH .eg¿" f,v frda. j<lajd.; yelsh¡ n," fÄGh j.=rejk jg meis ñßjg uykqjr rc f.or iQmYdia;% fmdf;ys tk uia jÜfgdare w;r wjikg fhoS we;af;a jg meis ñßjg kï jQ iQm jHdxckhls¡ th úia;r lr we;af;a fufiah¡ fld;Uqre ñßisÕ=re wn wifudao.ï u lmd iE ¨kq ¨keUq,a jgd we u uia fuys ,d wkd f.k ie,s lejqk u jg meis ñßijg fï wE fhÿk k u

fld;Uqre" ñßia" bÕ=re" wn" wifudao.ï iy ¨Kq" iqÿÆKq weUq,a yeu jgdf.k uia fuys,d wkd ie,s ljd ms<sfh, lr.;a úg th jg meis ñßijg kñka ye|ska fõ¡ uykqjr rc f.or iQmYdia;% fmdf;ys i|yka jQ osh f.dv uia msisk wdldrh iïnkaOfhka jQ msiuka úos úia;r ñka wjika fõ¡ ,nk ffjoHjrhd l,dmfhka t,j¿" m<d j¾. w, wdosh msisk wdldrh mdGl Tng bosßm;a lruq¡

lDñ i;=ka oIaG l< úg wvqfjka ú; bj;a lrkak tmd ó ueis" nUre" fonre hk lDóka oIaG l< úg Tjqkaf.a úf;ys we;s úI isrerg we;=¿ fõ' túg ;Sj% fõokdjla we;s fõ' óueiaika úYd, m%udKhla oIaG l<o udrdka;sl úI ke;sjQj;a ta ksid fõokdj iu. bosuqu we;s fõ' óueiaidf.a iy nUrdf.a ú; ifuys / f|a' fonrdf.a ú; oIaG l< miq ifuys fkd/f|a' tneúka fonrdg kej; kej; oIaG l< yel' nUrd iy ó ueiaid tla jrla oIaG l< úg ú; / f|a' tneúka oIaG l< yelafla tla jrla muKs' foUreka iy nUreka úYd, jYfhka oIaG l< úg urKh mjd we;s úh yel' fujeks oIaGkhloS yels blaukska frda.shd frday,lg hd hq;=h' nUrd iy óueiaidf.a oIaGkfhka miq /f|k úf;ka th isref¾ ^iuu;& /|S ;sfnk ;dla úI YÍrhg l%ufhka we;=¿ úh yel' tneúka tu ú;a .,jd bj;a l< hq;=h' ú;a .e,ùu weÕs,s ;=vq fyda wvqjlska lrk úg úI .%JÓfha we;s úI" úI kd,h ;=<ska isrerg we;=¿ fõ' tneúka ú; bj;a lsÍfïoS fudg msys ;,hla" fudg ;yvq lene,a,la jeks fohla Ndú;d lrkak' fuu ;,h ú; we;s ia:dkhg ;nd ;,a¨ lrkak' túg úI isrerg we;=¿ fkdù ú; .e,fõ' - fyo ks,OdÍ kkaoisß jkisxy

wdhq¾fõoh wdhq¾fõo u;dkql+,j oshjeähdj uÜgq lrk yeá

ksfrda.Su;a ,dxlSh ck;djla ìys lsÍu i|yd'''

oshjeähd frda.fhka w;añfouq wdhq¾fõo u;dkql+,j oshjeähdj uÜgq lrk yeá

osh;,dj wdhq¾fõo uy frdayf,a ffjoH wkqr úfcafialr úisks fudllao fï oshjeähdj lshkafka jpkfha mßiudma; w¾:h ie,l+ úg o, wjfndaOh wkqj —jeäfhka c,h hdu˜ tkï uq;%d hdu¡ f,dal fi!LH ixúOdkh WHO w¾: oelaùu iïmQ¾K ñY%s; Ysrd.; reêr idïm, mÍlaId lsÍfïoS" wdydrhg fmr idïm, mÍlaId l< miq th ,Sgrhg ñ¡,S¡ujq, 6g jvd wvq kï oshjeähdj$ uOqfïy je<|S fkdue;s w;r, wdydrhg miq idïm,fha ,Sgrhg ñ¡,S¡ujq, 8g jvd by< w.hla kï fuu frda.h je<|S we;s nj ks.ukh l< yel¡ wfma rfÜ jHdma;j we;s jhia.; frda. w;ßka fnda fkdjk jix.; frda. .Khg wh;a m%Odk;u frda.hla jkafka oshjeähdjh¡

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124 ffjoHjrhd

wdhq¾fõoh wdhq¾fõo u;dkql+,j oshjeähdj uÜgq lrk yeá

wdhq¾fõofha fuh uOqfïyh f,i y÷kajhs¡ iqjl< fkdyels zuyd frda. wglaZ wdhq¾fõofha olajd we;¡ fï wfgka tlla jkafkao oshjeähdjhs¡ oshjeähd frda.h lsis÷ ,laIKhla fkdfmkajd os.= ld,hla isrer ;=< ksy`vj mj;shs¡ fï ksid zksy`v urejdZ hk kuo Ndú;d lrhs¡ f,dal ck.ykfhka ñ,shk 246la oshjeähd frda.fhka fmf<k w;r 2025 jk úg fuu ixLHdj ñ,shk 380 olajd j¾Okh jk nj;a, fï jk úg Y%S ,xldfõ ñ,shk 2la muK oshjeähd frda.Ska isák w;r, oshjeähdj iEoSfï wjodkula iys; frda.Ska ;j;a ñ,shk 2la muK isák nj;a o;a; yd úYaf,aIKh l< úg fmkS hhs¡ f,dalfha iEu ;;amr 10lg jrla oshjeähdj frda.Ska fofofkl= ìysjk w;r jirlg ñ,shk 07lg jeä m%udKhla kj oshjeähd frda.Ska we;sjk nj;a f.da,Sh ixLHd f,aLk j,ska fmkajd fohs¡ oshjeähdjg m%Odku fya;=j jkafka msá yd iSks wêl lEu wdydrhg .ekSu' jHdhdu fkd,eîuhs¡ kj;u iólaIKj,g wkqj ,xldfõ oshjeähdj frda.Ska ixLHdj uq¿ ck.ykfhka 10]ls¡ ;jo mQ¾j oshjeähd ;;a;ajfha isákakka ixLHdjo 11] ls¡ iïmQ¾Kfhka n,oaoS 21] la muK oshjeähd frda.Ska isák njg weia;fïka;= lr we;¡ fjk;a úosylg lsjfyd;a iEu mqoa.,hka mia fofkl=f.ka tla wfhl=gu oshjeähdj we;s njg ie<fla¡

y;=frla jqK;a wjfndaO lr.;a;yu ta y;=relug fya;=j oekf.k Bg ms<shï l<du ;jÿrg;a y;=relï lrkak neß fjkjd¡ Tyqg ñ;=frla fjkak isoaO fjkjd¡ wkak ta úosyg oshjeähdj osyd tosß is;lska n,kafka ke;sj frda.h iuÕ iycSjkhla f.dvk.d .kak¡ oshjeähd frda.hg fya;= w.akHdYh ksis f,i l%shdldÍ fkdùu yd bkaishq,ska fydafudakh ksmoùu, fkdùu fyda ;sfnk bkaishq,skaj, l%shdldÍ;ajh wvqùu fyda bkaishq,ska m%udKj;a f,i ksmoùug fkdyelshdjhs¡ we`.m; fkdfjfyijd jeäfhka ksod .ekSuo, oSlsß, uia, ud¿, wêl fNdackh, w¨;a ydf,a n;a lEuo, meKs ri jeä lEu j¾.o, wêl msá iys; wdydr .ekSu, fl%daO lsÍu ffjr lsÍu fkdokakd fya;= wdydr osrùug fmr kej; kej; wdydr .ekSu

02 jk l,dmh

óg wu;rj udkisl wd;;sh udkisl fkdikaiqka;djh cdkuh fya;= uj yd mshdg oshjeähdj iEoSu úúO T!IO j¾. tl os.g Ndú;h

lD;S%u rildrl yd j¾Kldrl wdydr, wêl meKsri wdydr, meKs îu j¾., wêl msá wdydr, udkisl .eg¿, úúO wdydr ms<sn| jeros m%pdrK oekaùï yd ;ukaf.a myiqj wdoS fya;= fuhg n,mdhs¡

wdhq¾fõo ffjoH úoHdfõ m%fïy frda. 20la olajd we;¡ ksis l,g ksis ms<shï fkdflfrk iq¿ frda.Skaf.a ish¿u m%fïy frda. l,a hEfïoS uOqfïy ^iSks iys;& njg meñfK;s¡ túg ksYapfhkau widOH fj;s¡

oshjeähdj ksÜgdjg iqj lrkak neßo@ oshjeähd frda.h ksÜgdjg iqjlrkak neye¡ th uyd frda. wfgka tlla¡ fï ksid Tn wffO¾Hhg m;aúh hq;= keye¡ fudlo oshjeähdj ksÜgdjg iqjlrkak neß kuq;a, oshjeähdj Tng ´k úoshg md,kh lrkakg yels ùuhs¡

wdydr .ekSfï jeros mqreÿ jrla wdydr .;aúg th osrùug fmr ks;r ks;r flá wdydr .ekSu,

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wdhq¾fõoh wdhq¾fõo u;dkql+,j oshjeähdj uÜgq lrk yeá

oshjeähd frda.h md,kh l< hq;= wdldrh wdydr jHdhdu udkisl iqjh wdydr r;= lel=¿ n;a ;ïnmq ksjqvq ydf,a n;a l=rlalka ;,m, msÜgq, l=rlalka le|, W÷ msá wdydr, fufkaß, nv bßÕ=, ljqms, uqx weg fïjdfha ;ka;= m%udKh jeä ksid YÍrhg Wrd .ekSug hk ld,h jeähs¡ tu ksid iSks uÜgu laIKslj jeä fkdfõ¡ ;jo fïjdfha îcj, msg; fmd;a;la ;sfnk ksido YÍrhg wjYH úgñka ,efnk ksido oshjeähdfõ w;=re wdndO jk ysßho iqj ùug n,mdhs¡

jeo.;a jkafka m%;sldrhg jvd frda. j<lajd .ekSu fõ¡ wm rg jefjk wfma OdkH wfma t<j¿ yd m<;=re wmg foaYid;auH fõ¡ th ta ta l,dmhkg wdfõKSl we;eï frda. ;;a;aj ÿre lsÍugo WmldÍ fõ¡

t<j¿ j¾. lrú,, ;,k ngq, uqrex.d, flfi,auqj, fldys, w,, fldys, o¿, jïngq, f.dajd, ,Slaia , jegfld¿, mf;da,, ;=U lrú,, oU,, fndaxÑ, uElr,a, y;=j¾., ud¿ ñßia, fmdf<dia, ÆKq fld<, msms[a[d, fidahd, nKavlald, ;síngq, iqÿ¿Kq, uqrex. fld<¡

l=¿nvq j¾. W¿yd,a, fld;a;u,a,s, udÿre, ySxÿre, l=re÷, lrmsxpd, isÿ¿Kq, .ïñßia, ishU,d, ly, tkid,a , lrdUqkeá¡

m<d j¾. fldajlal fld,, j,a fld;a;u,a,s rKjrd, uql=Kqjekak, f.dgqfld<, lxl=x, je,afmfk,, u[af[dlal fld<, idrK, l;=reuqrex., f;nq fld<, je,a fodvï fld<, lrú, o¿, f;dar fld<, wdoS ´kEu m<d j¾.hla

Tiqmeka rKjrdu,a" fn,su,a" bruqiq" fmd,am<d" fld;a;u,a,s" f;afld<¡

m<;=re j¾. fo¿ï, fmar, wem,a, fmhd¾ia, wfkdao, fodvï$foys" fk,a,s, ños, kdrx, mefmd,a, ,djq¿, je,afodvï, osjq,a¡

-,nk l,dmhg-

Y=N uqyq¾;h t< lsßu ñi iqN lghq;= i|yd ;j;a úl,amhla we;ao@

w m uy

fndaêi;ajhka jykafia nqoaO;ajh ,eîfï ux .fõIKfha fhfok l,ays m<uqj fhdod .;af;a isrerg wiSñ; ÿla §fï ud¾.hhs' tl,ays jEreKq isreßka wn, ÿn,j la,dka;j ys¢oa§ f.dm¿ ujl ÿka lsß fldamamhla îfuka kej;;a m%lD;shg meñKsfhah' nqÿka jykafia nqoaO;ajh ,o miq uq,skau ,o wdydrh kï iqcd;d isÿ foaúh úiska t<lsß fhdod msisk ,o lsßmsvqh'

iqN lghq;= iyd t<lsß fhdod.ekSu flfuka wE;a fjñka mj;S'

t< lsßu ñi iqN lghq;= i|yd ;j;a úl,amhla we;ao@

t<lsß iuDoaêfha ixfla;h f,i fhdod .ekSu w;S;fha isgu mej; tkakla úh' úIKq foú÷ka wkka; kï kd. rdchd fhdodf.k lsß ihqr l<Uoa§ ,o

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128 ffjoHjrhd

Y=N uqyq¾;h t< lsßu ñi iqN lghq;= i|yd ;j;a úl,amhla we;ao@

mQckSh jia;+ka w;ßka tlla jkafka iqrì fok kï lsß fokhs' úIaKq foúhka yd lsß fok w;r we;af;a ióm in|;djhls' úIaKq foú÷ka úiska foaYKd lrk ,±hs ±lafjk N.j;a mqrdKfha l<shq.fha ksjka ±laug WmldÍ fj;ehs i|yka isjq jeoEreï ud¾. w;=ßka tlla jkafka t< foklg id;a;= imamdhï lsÍuhs'

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